H.E.L.P. Hypnosis Exchange of Licensed Professionals

  A free referral service to locate licensed therapists and doctors who use clinical hypnosis and hypnotherapy

H.E.L.P. APPLICATION FORM Items in red must be filled in.    NAME: DEGREE: STATE: SERVICE AREA: OFFICE ADDRESS: CITY, STATE, ZIP CODE: OFFICE PHONE NUMBER: E-MAIL ADDRESS: LICENSE NUMBER: DISCIPLINE: NAME OF STATE BOARD: BOARD PHONE NUMBER: ISSUES TREATED WITH HYPNOSIS: WEB SITE ADDRESS: http:// May we give your e-mail address to clients seeking treatment to speed the referral process? YES NO Additional Comments: helpform.html