If you would like to make an appointment, please contact us by e-mail or by phone. We are available evenings and weekends to serve you. In preparation for your appointment, please print out one copy of the Client Information form and two copies of the Client Disclosure form (one is for you to keep). These forms can be found at the “forms” link below.

To view these forms you must have Adobe Acrobat Reader. If you do not have Adobe Acrobat Reader you can download it for free by clicking the link below.

Click to download Adobe Acrobat Reader

Download Client Disclosure form: disclosure_form.pdf

Download Client Information form: clientinfo_form.pdf

Read the disclosure form, fill out the information form, and bring both to your appointment. I will ask you to sign and date both forms upon your arrival.

Also, if you are being treated by a physician or other licensed health care practitioner (such as a chiropractor, psychologist, or therapist), please print out a copy of the referral form, fill it out, have your health care provider sign it, and bring it to the appointment with you.

Download referral form: referral_form.pdf

Appointments typically last one hour, although the first appointment may be a little longer.

Dr. Peter L. Greenfield, DCH, CHt

National Guild of Hypnotists, #29944

International Association of
Clinical Hypnotherapy, #794332


Vancouver, Washington

360.750.5635
drpeter@pragmatichypnosis.com

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