Application Form for Quantum Healing Hypnosis Session (QHHT)
Welcome! 

This is an application to set up an appointment with Dr. Ward for a QHHT session. This is a service involving hypnosis, past life regression and healing. 
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Email *
Your first and last name: *
Please note that this service requires attending an appointment for up to 5 hours. It is highly recommended that you have no other important activities to engage in on the day of the appointment.  *
Required
This service must be performed in person at Dr. Ward's office in Sherwood Park, Alberta, Canada. 

(Please note that alternatively, you can arrange for Dr. Ward to travel to your location, at an additional cost. Make this request under the option "other" if you would like.) 
*
Required
The fee for a QHHT session is $1000 CAD + GST. To book this session, we require a non-refundable deposit of 50% of the fee. (More details about the cancellation policy will follow with the intake forms). *
Required
If you have acknowledged these requirements, we will follow up by email with the intake forms to book in the session. If you have any questions, feel free to write them here. A member of our team will be in touch shortly. *
A copy of your responses will be emailed to the address you provided.
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