Wings Hypnosis Client Intake Form

Wings Hypnosis, LLC welcomes ALL people with an open heart and mind regardless of gender orientation, political views, religious affiliations, or belief systems.  Hypnosis is a co-operative partnership between the client and the facilitator to create change in both the conscious and subconscious space.

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I am a Certified Clinical Hypnotherapist and Lifestyle Coach, not a Licensed Medical Doctor or Mental Health Professional.

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Hypnotherapy services performed are non-therapeutic and not intended to take the place of professional counseling, medical, or psychological care and should not be used as a substitute for diagnosis or treatment of any condition.   I do not work on pain or diagnosed mental or physical conditions without the referral from a licensed practitioner of the healing arts per Florida Statute Section 485.   If you are under the care of a medical professional for any condition for which you are seeking hypnosis support, please obtain a signed, written referral from your provider prior to engaging me and moving forward with related sessions.

 

I look forward to helping you become the next best version of yourself!

727-835-6566  •  1121 21st Ave N, St Petersburg, FL 33704   •   wingshypnosis@gmail.com
Copyright @2016-2020 Wings Hypnosis, LLC