International Hypnosis Federation®
30819 Casilina Drive, Rancho Palos Verdes, CA 90275
sstockwell@earthlink.net www.hypnosisfederation.com
(310) 541-4844 Fax: (310) 377-7946

…URGENT…
NEW LAW FOR ALL California MIND, BODY, SPIRIT WORKERS
Alternative Healthcare Disclosure Forms are Now Required for Coaches, Counselors, Hypnotists, NLPers, Spiritual Counselors, Pastoral Counselors, Therapists, Nutritionists, Naturopaths, Bodyworkers, Skincare Specialists & Movement Therapists!

As of January 1, 2003, the California Business & Professions Code requires that client’s of non-licensed practitioners sign a written Complementary & Alternative Health Care form at their first visit. One copy is to be given to them & the other is to remain in your records for three years. This form is said to protect you from “being cited, penalized or fined for violating the Medical Practice Act of California.” Other states are considering similar legislation.

The International Hypnosis Federation®, has printed the required forms specifically outlining and deliniating the good mind, body, spirit and fun modalities you use. The form is attractive,
positive, professional and not only informs but also promotes you and your services and allows you to keep records of who comes to see you.

The two-page-duplicate Disclosure Forms comes in packages of 100 and costs only $19.95.
Order them right away to protect your legal rights and avoid being in violation of the new law. Call (310) 541-4844 or send the following information to:
“IHF Complementary Provider Forms”
30819 Casilina Drive
Rancho Palos Verdes, CA 90275-6205
YES! Send ____ packages (each 100 two-page sets) @ $19.95
California tax per set 1.64
shipping & handling 3.00
TOTAL per package = $24.59
check, money order, Visa, MasterCard or American Express are accepted

Name_______________________________________________________
Address________________________________________________________
City ________________________ State ____________ Zip ______________
Phone___________________________ e-mail_______________
Visa, M/C, A/E Number ___________________________________
Expiration Date ___________________________________
Signature ________________________________________

P.S. Note that the new code also states: “A person who advertises such lawful (alternative) services must say that he or she is ‘not licensed by the state as a healing arts practitioner’” (I would add: “but is certified in their field of expertise”)

Order your forms right away and protect yourself from this protentially threatening legislation. Remember, the Californa law goes into effect January 1st, 2003.