Make an Appointment: (331) 227-9330 | CyrionsTreasures@gmail.com

CyrionsTreasures@gmail.com | (331) 227-9330

Contact Now Schedule an Appointment
Offering online services worldwide

CyrionsTreasures@gmail.com 
(331) 227-9330

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Intake Forms

Thank you for choosing and entrusting Like Magick Hypnotherapy for further guidance along your magickal healing journey!!

 I truly appreciate this opportunity and look forward to working with you! 

If we are meeting for the first time or we are meeting about a new issue please take a moment to fill out the intake forms below.

Please select the intake form for you selected service.

No Nicotine For Me (Part 1) Intake 

No Nicotine For Me (Part 2) Intake

No Nicotine For Me Drop In Session  *You do not need to complete again if you are returning client*

Hypnotherapy/Command Cell (Virtual & In Person)

Someone To Talk To



Click Here to Schedule Today
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(331) 227-9330
CyrionsTreasures@gmail.com

Offering online services worldwide


By submitting this form via this web portal, you acknowledge and accept the risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By clicking "Yes, I want to submit this form" you agree to hold Brighter Vision harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.