Virtual Hypnotic Wellness - CONSULTATION REQUEST FORM

CONSULTATION REQUEST FORM

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By entering your number, you agree to receive calls and text messages.

On a scale of 1-10 (with 10 being the highest), how would you rate your current level of anxiety?

Consultation Fee: There is an initial $29.00 consultation fee, which is non-refundable, even if you cancel or reschedule your appointment. However, if you attend your consultation, you will be considered an established client, and the fee will be credited toward your next appointment, provided it is scheduled within 14 days.

If you need to cancel or reschedule and provide more than 48 hours' notice, your $29.00 fee can be applied to a future consultation. The rescheduled appointment must be booked within 14 days of the original appointment date.