Get Your Healthcare Referral Form

If a Healthcare Referral is required to work on your goal(s), you will need to turn in your Licensed Healthcare or Mental Health Provider's Reply to Jackie before your SECOND session. You may have your first session without the referral. The downloadable PDF file below contains everything you need to request the referral from your provider. 

Para servicios y los documentos en español, hacer clic.

Are you a new client and don't have access to the Hypnotherapy Members Only page? 

You're in the right place! 

You can download files here to help answer your questions and get some of the supplementary forms you might need as a client. 

To get started with Hypnotherapy with me, Jackie Ambrow, C.Ht., M.A., please contact me online or by phone at 352-508-7444 first:  

• We'll talk about your goals and how I may help you achieve them. 
• Then I'll get your contact information so I can send you an email with all the information you need to get started. 
• We'll also schedule your first appointment at that time!

If you have any questions, please let me know! I'm happy to help! Para Servicios en español, hacer clic. 

Enjoy these audio recordings with our compliments!