Intake Hypnotherapy Clients

“Your unconscious knows more than you or I, so you can remember to forget what you have learned to remember and find yourself transformed.”

– Krystal Matocha, The Whole Measure

welcome to hypnotherapy

A natural, safe and gentle practice that uses coaching and altered consciousness (deeply focused relaxation) to enhance learning, healing, inner-knowing and creativity.

I look forward to accompanying you on this journey into your unconscious mind. My door is always open for you, so please feel free to reach out by phone, text or email at anytime, even after your sessions are complete. Your questions and progress are always welcome!

If you are using hypnosis as an adjunct to medical treatment, a referral from your physician is required. Download the form here and have your physician complete and return to me.


  • Your session may last anywhere from 1-3 hours.
  • Wear comfortable clothes.
  • Prepare a peaceful space that is free from distraction and disturbance. You might like a small blanket, calming music, a candle or essential oil.


Same day cancellations and no-shows are subject to a cancel fee equal to the price of the session. If you have a serious emergency, I may make an exception, so please ask if you have questions.

Client Intake Form

This form is required prior to beginning our work together. It helps me understand how I can best support you. Allow 15 minutes.

In some instances, I require a referral from your physician before we can begin working together. I will provide you with a form that your physician can complete and return to me, ensuring hypnosis is not contraindicated. You will need a referral if you are using hypnosis for:

  • medical issue or disease
  • pain management
  • mental illness