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Client History Form

 

If you have decided to permanently rid yourself of those feelings and emotions or that physical problem thatís been bothering you,

 

click on the Online Client Form form below

 

Fill out the form and I will then send you
the dates and times available for sessions
and then you can pick according to you schedule.

 

Free consultation by Phone contact 403-816-2671

 

E-mail contact adhypcal@telus.net

 

 Online Client Form

Note: All the information on this form is 100% confidential and will be used to help us understand your life and your needs in hypnotherapy and hypnosis.

Your email address will never be sent, shared or sold to any third party.

 

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