Contact

Notice:
Dr. Nicole Lee is on sabbatical until April 2025, and will not be able to offer sessions this period.
Thank you for your understanding.

Contact

We are an ACRA-registered company based in Singapore,
offering In-Person & Online hypnotherapy locally and overseas.

For enquiries, please feel free to:
Email: [email protected]

To arrange your Initial Guidance Session (online):
Kindly fill in our Booking & Consent Form below.
This form has been designed to facilitate a smooth engagement process and helps save time for our meeting.

Initial Guidance Session
Booking & Consent Form

- All information provided is kept confidential -

* Indicates required field

Name (as per identity card/passport) *

Preferred Name (If any) *

Age (you must be above 21 years of age) *

Gender *

City and/or Country of Residence *

Email *

Mobile number *

Occupation *

Therapy you are interested in *

Age Regression Therapy Past Life Regression Therapy Between Lives Regression Therapy I would like to find out which therapy I might benefit from

Why are you interested in therapy? What outcomes do you hope to achieve? Please tell us in a few lines. *

Your preferred date(s) and timing(s) for your Initial Session *

Contraindications to Hypnotherapy - please click here.

Do you have any condition(s) that might be a contraindication for hypnotherapy? *

No Yes - You may wish to check with your healthcare professional before engaging in the process. We can also discuss further during our Initial Session. Unsure - We will discuss further during our Initial Session. Be assured everything is confidential.

Consent - I confirm that I am participating in the Initial Session and any future therapy of my own will, and I agree to the Terms & Conditions (see below). I understand that all information provided is kept strictly confidential except where disclosure is required by law. *

Yes, I agree No, I do not agree

Click here for our Terms & Conditions.

Submit

Contact

Initial Guidance Session​Booking & Consent Form

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Initial Guidance Session
Booking & Consent Form