Medical Referral Form for Hypnosis

Do I Need a Referral for Medical Hypnosis?

Download Medical Referral Form from this page.  — Medical Hypnosis typically requires a referral. Download this form and bring it to your doctor.

Your health and safety is our top priority at Major Mindset Hypnosis. Accordingly, a medical referral from your doctor may be required for hypnosis. If you are currently being treated by a physician or other healthcare provider, Major Mindset Hypnosis is happy to coordinate and complement the care that you are receiving from your doctor or other healthcare providers. Additionally, please inform us of any and all prescription and non-prescription (over-the-counter) drugs that you are taking or should be taking and are NOT taking even though they were previously prescribed.

Major Mindset Hypnosis provides NON-therapeutic hypnosis and does not treat any particular disease, symptom or ailment. In accordance with New Jersey State Law, Major Mindset does NOT claim any health benefit, although there is substantial evidence to the contrary. Additionally, Major Mindset Hypnosis does NOT prescribe medication nor does it alter or suggest that one alters any medication or treatment that has been prescribed by your doctor, psychotherapist or other healthcare provider. Hypnosis is never a substitute for medical care. Hypnosis is NOT medical care.

Major Mindset Hypnosis is happy to contact your physician or other healthcare provider on your behalf to assist you in obtaining a referral. To see whether or not you need a medical referral, please call us at (973) 370-2100 for a free over the phone telephone consultation with the hypnotist.