Aromatherapy Intake Form

intake-form

Click on the above text to open the Intake Form. Fill out this form and the Release Form found under the Aromatherapy Consultation tab and mail to me at:

Pamala Gifford    PO Box 653, Manchester, Wa  98353

Why snail-mail you say?  Mailing your form to me reduces accessibility to your private personal information. It better protects your personal identifying information (PII), whereas, email can be accidentally or purposely sent out to large groups of people that you may not want to have access to your private information.