Please use this form to request a private session with Mary Catherine Miller, Divine Purpose Guidework(TM) Practitioner.
Please select your choice of Intake Form:
You may use the Web form and submit your intake form right away.
If you choose the Word or PDF form you may bring it to your consultation session or FAX it to 888-394-4054.
You may return to this page to obtain your intake form after submitting your appointment request.
All appointments are held in Bedford, Texas at this time. Complete details and directions will be sent when your appointment is scheduled.
Please complete each field marked with an asterisk (*).
Please Note: Hypnosis and holistic modalities are not a substitute for medical care. Consult your physician, therapist and/or other healthcare providers for health-related concerns.
Holistic practices concerned with issues related to body, mind and spirit complement conventional medical and therapeutic practices; but do not replace them.
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