BRITISH SOCIETY OF MEDICAL AND DENTAL HYPNOSIS (BSMDH) – SCOTLAND

BRITISH SOCIETY OF MEDICAL AND DENTAL HYPNOSIS (BSMDH) – SCOTLAND

BRITISH SOCIETY OF MEDICAL AND DENTAL HYPNOSIS (BSMDH) – SCOTLAND

BRITISH SOCIETY OF MEDICAL AND DENTAL HYPNOSIS (BSMDH) – SCOTLAND

BRITISH SOCIETY OF MEDICAL AND DENTAL HYPNOSIS (BSMDH) – SCOTLAND

BRITISH SOCIETY OF MEDICAL AND DENTAL HYPNOSIS (BSMDH) – SCOTLAND

BRITISH SOCIETY OF MEDICAL AND DENTAL HYPNOSIS (BSMDH) – SCOTLAND

BRITISH SOCIETY OF MEDICAL AND DENTAL HYPNOSIS (BSMDH) – SCOTLAND

BRITISH SOCIETY OF MEDICAL AND DENTAL HYPNOSIS (BSMDH) – SCOTLAND

BRITISH SOCIETY OF MEDICAL AND DENTAL HYPNOSIS (BSMDH) – SCOTLAND

BRITISH SOCIETY OF MEDICAL AND DENTAL HYPNOSIS (BSMDH) – SCOTLAND

BRITISH SOCIETY OF MEDICAL AND DENTAL HYPNOSIS (BSMDH) – SCOTLAND

BRITISH SOCIETY OF MEDICAL AND DENTAL HYPNOSIS (BSMDH) – SCOTLAND

BRITISH SOCIETY OF MEDICAL AND DENTAL HYPNOSIS (BSMDH) – SCOTLAND

HYPNOTHERAPY TRAINING

by

The British Society of Medical and Dental Hypnosis (Scotland)

Please print, complete and post this application form with your cheque for £894 made payable to BSMDH (Scotland), and return it asap:

Angela Samson, Office Secretary BSMDH (Scotland), C/o 14 Polsons Crescent, Paisley PA2 6AX

(Please complete in BLOCK CAPITALS)  

-----------------------------------------------------------------------------------------------------------------------------------------------------------------

Medical

Dental

Please Tick

Full Name with Title: ____________________________________

 Full Postal Address: _______________________________________________________________

_____________________________________________ Post Code: _________________________

Telephone: ___________________________________ Fax: _______________________________

Email: ___________________________________________________________________________

Speciality: ________________________________________________________________________

__________________________________________________________________________________

Have you had any previous training in hypnosis?  __________________________________________________________________________________

__________________________________________________________________________________

Please detail any special dietary requirements: __________________________________________

_____________________________________________________________________ 

For Office Use Only:

Date Received	Fee Received	Fee to Treasurer	Application Acknowledged	Sent course Info

Company Limited by Guarantee, Company No SC321018, Registered in Scotland

Registered Scottish Charity No SC002536

“The British Society of Medical  & Dental Hypnosis (Scotland)”is the trading name of “The BSMDH (Scotland)”, a Company Limited by Guarantee, Company No. SC321018, Registered in Scotland, Registered Scottish Charity No. SC002536 Registered Office: Suite 37 – 39, Central Chambers, 93 Hope Street, Glasgow,  G2  6LD Tel.0141-229-0222, E-mail: mail@bsmdh-scot.com