INTAKE FORM

Congratulations on taking the first step to improving your health!

Please fill out all the fields on this confidential questionnaire before submitting your details. Once I reviewed your details, I will confirm your initial appointment.

I look forward to supporting you on your journey to better health!

Step 1 of 10

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  • PERSONAL DETAILS

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  • GP DETAILS

Disclaimer: I practice as a Naturopath & Nutritional Therapist in London, and I 'm not a qualified medical doctor. I'm not able to diagnose or treat health conditions, or advise on prescribed medication. Instead, I support and optimise your body's natural ability to correct the underlying physical and biochemical imbalances, so your body can heal itself. If I suspect that there is an underlying health problem that hasn't been diagnosed, I will reefer you back to your General Practitioner for a health investigation.