Date

Dear:

I have been contacted by your patient ___________________________________ requesting hypnosis. It is my policy to be sure that the attending physician or other health care provider is aware that the patient is practicing hypnotism and will likely experience less worry and discomfort than other patients. Research suggests there may be other general health benefits as well.

Consulting Hypnotism is motivation coaching by means of hypnotism and is not considered health care. Therefore, health insurance does not normally cover hypnotism and your patient will be paying me directly for my services.

If you have any objection to your patient receiving hypnotism would you inform me? If there is anything in particular you would like to include in my work with your patient, such as smoking, pain control or other dysfunctional behaviors, please let me know.

I am a Consulting Hypnotist in good standing with the National Guild of Hypnotist and my continuing education is current. I practice in accordance with the Code of Ethics, Standards of Practice and Recommended Terminology of the National Guild of Hypnotist, and give every client a comprehensive Client Bill of Rights which fully discloses my training and practice limits.

Please feel free to learn more about my services and background form my WEB site. I would be happy to discuss my services with you at your convenience.

Sincerely,

Gary Cole