Certified Hypnotherapist to Register Here

Name *

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Last

Mobile Number/Contact Number *

Email *

Your Website:

Other Places You Advertise Your Hypnotherapy Services:

Company Name: *

Indicate your name if you do not have a registered company to your private practice.

Company Registration Number *

If applicable, if not registered, please indicate NA

Therapy Address: *

Your Specialties: *

Select your area of your specialties, for others, please include specifics in Comments or Message column below.

Method of Consultation *

Face to Face Consultation Conducted in: *

For others, Please indicate exact place of operations for face to face consultation under Comment or Message Column below. Thanks.

Estimated Charges per session

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