MN Intake Form
for Herbal Case Study
START HERE: Welcome to our convenient online MN Intake Form. This form takes an average of 20-90 minutes to complete. Please make sure you have set aside the time to complete this form accurately. This form gathers information for your wellness records that will assist in your herbal and wellness therapy. Once you have completed the form, simply click the "Submit" button to securely and confidentially send the information to your wellness practitioner or herbalist. Please note that this form is for MN appointments only.
NOTE: This is a confidential form for your wellness information and history and will be kept on file in our office. Information herein will not be released to any person unless you have authorized to do so. Submitting this form authorizes the form to be placed into your file and for your herbalist and/or wellness practitioner to review. The complete the questionnaire as thoroughly as possible.
MN Intake Form
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"I have always wanted to use more natural products in my life and I feel much more knowledgable and confident now!"StudentHome Herbalist Course Student
"Wow! This class was great...just wish I had more time to invest in applying everything I learned. Loved all the little tid-bit home remedies we learned during class."Home Herbalist Course Student
"In the past couple of years, I've attended a few of Amber's classes and have always come away with mountains of new and exciting information. In her herbal classes I learned man..."Karen HeberleinHealth Student