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Consultation Form

I mix herbal and flower remedies based on your personal constitution, so please answer the following questions as honestly as you can below.

All information supplied is strictly confidential.

DISCLAIMER

 


Holistic Health: I understand that I am here to learn about healing herbs, holistic nutrition and better health practices. I will be offered information about food supplements and herbs as a guide to general good health and this is to be for educational purposes only. 

 

I have, following consultation, consideration and discussion, agree to participate in  this healing therapy. I am fully aware that the therapy and services I wish to receive are those of a holistic nature and do not serve as a substitute for professional medical advice, examination, diagnosis or treatment. I fully understand it may take several sessions before I notice any benefit. This will depend on my life style, on-going medication and general health.

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I will seek the advice of my doctor or other qualified health provider in the case of a medical emergency, medical ailment or in respect of general health questions without delay. I will also inform La Sorcière Holistique of any changes in my medical status.

 

Akashic Records Healing: No one can guarantee specific outcomes or results, as the course of our lives depends not just on our own choices, but also the various energies and forces that surround us.  As an intuitive, my role is to open a path. I cannot guarantee any specific outcome from the Reading. You, The Seeker is responsible for interpreting the messages you receive from your Record Keepers, Guides, and Loved Ones, as well as taking your own actions. The Reading is meant to provide spiritual information, support, and encouragement, rather than serve as a therapeutic or prescriptive tool.

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I acknowledge I have given my personal details and  that my information is protected. I give my consent for La Sorcière Holistique to store and use my details for correspondence with myself. 

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I understand that if I have been untruthful with my details or have failed to give enough relevant information any treatment could be adversely affected.

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