Medical – Mental Health Referral Form – Required for diagnosed conditions.
Whether diagnosed or undiagnosed, the State of Florida may require some issues to require a referral from your doctor prior to moving forward. (It’s also in your best interest to check with your medical professional first so as to rule out a more serious issue.)
Please download and forward this form to your primary care doctor or mental health professional. Please advise that I would be happy to clarify the process and discuss how hypnosis will help you resolve your issue. Read more about how I work with Medical and Mental Health Issues here.
To download the form, click the image. A new page will open and allow you to download or print the file. (2 Pages)