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Houston Alternative Therapies
Certified Practicing Hypnotist Since 2003
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Schedule an Appointment or Request Information
Make an Appointment Request Information
bkindel@earthlink.net or 713-822-8560
Hypnosis
Name
Address
City State Zip
Work Phone
Cell Phone
Home Phone
e Mail address
Appointment Information:
Date Requesting
Time Requesting
Length of Session None 30 minutes 45 minutes 1 Hour 1 1/2 Hours 2 Hours
Hypnosis Subject
Method of Payment Cash Check Visa MasterCard I will contact you for Credit Card Information.
Additional Information:
Please print and complete the forms provided before arriving at the office.
Important: Hypnosis sessions are not intended as a replacement for appropriate medical care.