Naturopathic Consult forms for initial (first) appointment
Naturopathic Initial Client Intake Form (ONLINE FORM)
This is the easiest, most convenient form to fill out online. – This is the initial intake form for a Naturopathy Consultation. Approximate time is 45 minutes – Grab a coffee and ensure no distractions :). It is thorough and needs to be completed and “sent” at least 3 days before your consultation.
Click “send” at the bottom and then I will get a copy and one will also be emailed to your email address.
Please complete questions with as much detail as possible
This form will take approximately 20-40 minutes to fill in, grab a coffee or herbal tea 🙂 If unable to fill out in one go, that is fine, it will SAVE when clicking SEND at the bottom, please read below to ensure this happens easily 🙂
Some questions in the first 2 pages and again in the last page located in the “NATUROPATHIC CONSULTATION CONSENT FORM” sections NEED to be read and completed or the form will not submit. Feel free to read and tick off these ones first in case you need to send the form quickly to save it.
If needing to come back to an uncompleted form in the future, an email with a link is automatically sent to you (after you click “send” at the bottom of this form) and you can click that link and continue filling in the form 🙂
If you prefer a PDF or WORD document to PRINT out and fill in manually, please contact me at [email protected]
If you are having troubles with this form or get frustrated and are unable to fill it out, then during your 60 minute Skype or Home Visit consult I can go through the questions with you and type it up.
However having it all filled out before our appointment will ensure plenty of extra time with you and I would have already performed a heap of research on your health conditions and the whole appointment will go way better and be more informative 🙂
Naturopathic ACUTE Client Intake Form (ONLINE FORM)
This is the easiest, most convenient form to fill out online. – This is the ACUTE intake form for a Naturopathy Consultation. It needs to be completed and “sent” at least 2 days before your consultation.
Click “send” at the end and then I will get a copy and one will also be emailed to your email address.
Please complete questions with as much detail as possible
This form will take approximately 5 minutes to fill in, it will SAVE when clicking SEND at the end.
If you prefer a PDF or WORD document to PRINT out and fill in manually, please contact me at [email protected]
Naturopathic Initial CONTRACT + Confidentiality Agreement + Client Consent, Statement , Commitment & Declaration + Cancellation Policy Form (PDF)
Please print this out then fill it out then scan and email it back to me at [email protected]
This form below just needs to be printed, signed, dated, scanned and emailed back.
Naturopathic Initial Privacy Policy Form (PDF)
This is a copy of the form that you ticked yes to in the agreement in the Health History Questionnaire online.
This form below just needs to be printed, signed, dated, scanned and emailed back.
FOOD MOOD POO’D JOURNAL (2 day) (pdf)
Download and fill out a PDF document version print then fill out then scan, then email it back to me at [email protected]
This form below just needs to be filled out and emailed back.
ONE WEEK DIET DIARY (pdf)
Download and fill out a PDF document version print then fill out then scan, then email it back to me at [email protected]
This form below just needs to be filled out and emailed back.
How to take your measurements (pdf)
PDF instructions on how to take your body measurements using a tape measure
(for weight loss)
Bear in mind the waist measurement is best done at the belly button point 🙂
Metabolic Balance Client Intake forms
Metabolic Balance Client Intake Form – ONLINE FORM
Download the ONLINE document, type out then save and email back to me at [email protected]
Metabolic Balance Client Intake Form
Download the PDF documents, print and fill out then scan and email back to me at [email protected]
Metabolic Balance Informed consent and disclaimer Form + Metabolic Balance Notice of Privacy Practices Form
Download the PDF documents, print and fill out then scan and email back to me at [email protected]
Metabolic Balance TERMS AND CONDITIONS
Download the PDF documents, print and fill out then scan and email back to me at [email protected]
Metabolic Balance BASIC BLOODS FORM
Download the PDF document, print and take to your doctor to get the correct blood tests. Ensure you FAST for 12 hours (Nothing but water) before the test.
How to take your measurements (pdf)
PDF instructions on how to take your body measurements using a tape measure
(for weight loss)
Bear in mind the waist measurement is best done at the belly button point 🙂
Flower Essence Consult forms
Flower Essence Client Intake Form – (people) (ONLINE FORM)
This is the most convienient and easiest and fastest to fill out with the mouse and keyboard, then click “send” at the bottom and then I will get a copy and one will also be emailed to you.
If you prefer a PDF document to PRINT out and fill in manually, please contact me at [email protected]
Massage Client Intake forms
Massage Client Intake, consent and liability Form (pdf)
Energy Healing Client Intake forms
Energy Healing Client Intake Form (People) (pdf)
Energy Healing Client Intake Form (Pets) (pdf)