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The Master Creators Guild
Please take a few minutes to complete the following Executive Level Application.  This will ensure that we can jump right to work when we meet.  The more detailed you can be about your responses the better.  

    Client Intake Form

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    ​By stating I Agree and signing below, I am willing to be guided through relaxation, visual imagery, creative visualization, hypnosis, and stress reduction processes and techniques for the purpose of vocational or avocational self-improvement.  I understand that the hypnotherapy I am receiving is not a substitute for normal medical care and I have been advised to discuss this hypnotherapy with any doctor who is taking care of me now or in the future.  Additionally, I should continue any present medical treatment and consult my regular medical doctor for the treatment of any new or old illnesses.
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Lia Dunlap - The Oracle on Purpose - Portland, OR - 971-319-3556 - Contact Us 
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