Virginia Beach Hypnosis (757) 577-2002

Virginia Beach Hypnosis is the most recommended hypnotherapist in Virginia Beach & Norfolk with a 99% success rate. Stop smoking, lose weight, overcome anxiety.


Please fill out the appropriate form listed below. Clicking on the link will bring up the form in a new window. All form fields must be filled out. When you have completed filling out the form please press the submit button. Then you may close the window and return to this page.

Clients are accepted by appointment only.

My practice is in a private office near the airport in Norfolk.
The address will be disclosed upon setting up an appointment
and filling out the application form.

Personal information is strictly confidential.

Client Hypnosis Application Form

Children’s Hypnosis Application Form

Survey Form

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