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Renewal Form

Directions:

  1. Please review the ASCH Code of Conduct.  Completion of this application includes your attestation that you agree to abide by this code.
  2. Complete this form.
  3. Mail application form and be sure to include a copy of your current license.  Include check for Annual Fee: $45                                                                                         Mail to:  NCSCH                                                                                                                            c/o Terry Robertson, L.C.S.W.                                                                                                 3002 Bridges Street                                                                                                        Morehead City, NC 28557

i.e. John Appleseed

i.e. 19920-AB230

i.e. 145 Hypnosis Street

i.e. Suite 900

i.e. Raleigh

i.e. NC

i.e. 27577

i.e. john@appleseed.com

i.e. www.merkados.com

i.e. (939)112-3232

i.e. Yes

i.e. 2008

i.e. Yes

i.e. Yes

i.e. Yes

Please type a short description of your work. Up to 50 words.

i.e. No

Requires letter from graduate school confirming student status.
 

About NCSCH

1

The North Carolina Society of Clinical Hypnosis is a community of dedicated health care and mental health care providers committed to the competent, effective, and ethical use of clinical hypnosis.

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What is Hypnosis? Q & A.

t2

What is Hypnosis? Is a natural state of selective, focused attention, and, even though it is 100% natural and normal, it... More