Hypnosis Forms

Please complete these steps prior to your initial appointment.
Failure to complete these steps might result in the need to reschedule your initial appointment.

For New Hypnosis Clients Only:

Please complete this packet and send it via e-mail (jmolinari@progressivecounselingandhypnosis.com) or via fax (410.992.7073) at least 48 hours prior to your appointment.

Progressive Counseling Hypnosis Intake Packet

(Hypnosis Clients only)


Authorization for Release of Information

Limits of Confidentiality



7350 Grace Drive
Columbia, MD 21044

jenmolslight@gmail.com
(410) 709-3974

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