Our Minds Are Amazing LLC

If you have any questions, please call or text:
(904)-410-0316


Please complete this form (All information is strictly confidential)

Have you ever been treated for an emotional problem?
Have you ever been treated for:
Have you ever been hypnotized before?
Any previous efforts to solve this problem?
I am willing to be guided through relaxation, visual imagery, creative visualization, hypnosis, and stress reduction processes and techniques for the purpose of vocational or avocational self-improvement. I understand that the hypnotherapy I am receiving is not a substitute for normal medical care and I have been advised to discuss this hypnotherapy with any doctor who is taking care of me now or in the future. Additionally, I should continue any present medical treatment and consult my regular medical doctor for treatment of any new or old illnesses. *