Complete Form
IMPORTANT: Download, Complete, and Return your confidential Intake Form at least 24 hours before your confirmed appointment time. Sign the last 2 signature pages and email to tamara@beyondhypnosis.org
Adult Intake Form
Child Intake Form
Individual Sessions
Intake Personal Session
includes:
• (1) 2-hour First Soultherapy session
• Mp3 of session delivered to your email for daily listening.
Virtual Intake Personal Session
includes:
• (1) 2-hour First Soultherapy session
• Mp3 of session delivered to your email for daily listening.
In Office Personal Session
includes:
• (1) 1-hour hypnotherapy session
• Mp3 of session delivered to your email for daily listening.
Ongoing Personal Session & Coaching Packages
Ongoing packages are intensive client-directed, evidence-based cognitive and behavioral therapy. that include; Hypnotherapy, Virtual Reality, Reiki, Light, and Sound Technology, and Astrology used as healing modalities, along with video, audio, and written materials as interactive experiential course work.
Key Objectives and Benefits:
- Increase Emotional IQ: Identifying stress triggers for the purpose of developing mental and emotional self-awareness.
- Develop and nurture resilience and personal empowerment strategies.
- Identify Purpose: Discover Soul purpose, strengths, and areas of growth.
- Personality awareness: Understanding, accepting and capitalizing on core personality aspects while diminishing interference patterns associated with epigenetic and attitudinal resistance.
3 Month Package
includes:
• 1 Astrological Soul Analysis
• 3 monthly 1-hour Soultherapy sessions
• 6 bimonthly 3o min. coaching sessions.
• 3 personal session Mp3s delivered to your email for daily listening. • Therachat or Email support as needed throughout.
Weekly Personal Development and Meditation Training
6 Month Package
includes:
• 1 Astrological Soul Analysis
• 6 monthly 1-hour Soultherapy sessions
• 12 bimonthly 3o min. coaching sessions.
• 6 personal Mp3s delivered to your email for daily listening.
•Therachat or Email support as needed throughout.
Weekly Personal Development and Meditation Training
9 Month Package
includes:
• 1 Astrological Soul Analysis
• 9 monthly 1-hour Soultherapy sessions
• 18 bimonthly 3o min. coaching sessions.
• 9 personal session Mp3s delivered to your email for daily listening.
• Therachat or support as needed throughout.
Weekly Personal Development and Meditation Training
12 Month Package
includes:
• 1 Astrological Soul Analysis
• 12 monthly 1-hour Soultherapy sessions
• 24 bimonthly 3o min. coaching sessions.
• 12 personal session Mp3s delivered to your email for daily listening.
•Therachat or Email support as needed throughout.
Weekly Personal Development and Meditation Training
Disclaimer:
I am licensed in the state of Washington, and certified as a Psychotherapist to work with vocational & avocational self-improvement. These areas of personal improvement include, and are not limited to Weight Loss, Smoking Cessation, Anxiety, Pain, Stress, Depression, etc. The modalities I employ are a wonderful compliment to any medical care you may be receiving, I’d like to partner with your medical practitioner.
Now you can have your session from anywhere via my new HIPAA compliant virtual office. Select your preference in the form provided above.
Some conditions require a medical referral*. Additionally, all Chemical dependency clients must also be actively participating in twelve-step meetings or the equivalent. My focus as an alternative healing practitioner is to reprogram limiting thought patterns that exist in the emotional body and can, in turn, affect the physical body creating dis-order, dis-ease, and addictive behavior. The power is in addressing the cause rather than the symptom, by tapping into and balancing the Mind-Body and it’s innate ability to heal.
*If you are under the care of a physician for a physical or mental issue.
GET 6 MONTHS TO PAY!
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Select the PayPal Credit option (on the “Review your Information” page, or click “Change” under payment method.
Answer 2 quick questions, then accept the terms.
That’s it! Call me or schedule your appointment above.