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If you are seeking hypnosis for a known medically diagnosed condition, I will need to
have obtained  a written physician referral prior to your session. The
Physician Referral form
may be downloaded from here or from the physician's page on this website. For additional
information, you may direct your physician to the
physicians page on this website.

Taking the time to thoughtfully complete the intake and benefits forms will save
valuable time during your appointment, allows you to gain clarity around your goals and allows
your clinical hypnotist to be best prepared to meet your needs and make the most of your
appointment.

To access the forms page, please sign-in using the form on this page.
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Copyright 2008-2011 MindClick Partners Inc. All rights reserved.       MindClick Partners Inc Hypnosis  |  212-2678 West Broadway Avenue |  Vancouver BC V6K 2G3  |  778.800.0494
MindClick Partners Inc provides individual and group hypnosis services, workshops and training to the public and
corporations in the lower mainland British Columbia, including Vancouver, Kitsilano, Point Grey, Shaughnessy,
Yaletown, UBC area, False Creek, Fairview, Burnaby, Richmond, Vancouver West, Surrey, Langley, fort Langley,
New Westminster, West Vancouver, North Vancouver, Coquitlam, Port Coquitlam, Delta, Tsawwassen, Maple
Ridge, Pitt Meadows, Port Moody, Deep Cove, Squamish, Whistler, Aldergrove, Abbotsford, and White Rock.