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Appointment Request

Appointment Request

To schedule an individual hypnotherapy appointment - Past Life Regression, Life Between Lives, or Quantum Consciousness session.

or to obtain additional information please fill out the form below.

Contact by email at [email protected]
or call 708 987 4495.

Looking forward to hearing from you!

We are committed to your privacy. 

Do not include confidential or private information regarding your life or health condition

 in this form or any other form found on this website. 

                                                                         This form is strictly for general questions or messages to the practitioner.

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Helpful Forms

Click here to view and print forms for your appointment.

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