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Pet Healing Session Form
Begin your pet's healing journey by sharing their story below Note: You'll be asked to upload a photo of your pet during this form. Having a clear, recent photo ready will streamline the process.
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1
Pet's Name
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2
Pet's Age
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3
Pet's Species
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Cat
Dog
Bird
Reptile
Horse
Other
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4
If other species, please specify:
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Pet's Gender
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Female
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6
Pets' Breed
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7
Upload a recent picture of your Pet. Eyes should be looking at the camera
If you are not with your pet currently, you can skip this and send it through later via email hello@shedandshift.com
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8
Which service are you most interested in?
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Is there a service you are drawn to? If not, that is ok, just tick not sure yet.
Basic Pet Medical Intuitive Package: Ideal for minor physical ailments. Transform hidden health challenges into vibrant wellbeing through intuitive connection with your pet's body wisdom One intuitive assessment, one targeted healing session, and 7 days of text support ($111/R2000)
Comprehensive Pet Medical Intuitive Package Experience complete healing transformation addressing root emotional patterns and creating lasting energetic balance Two intuitive assessments, three healing sessions, and 14 days of text ($300/R5400)
Single Energy Healing Session: Release emotional blocks and restore your pet's natural harmony through targeted energy work (R1800/$100)
Not sure yet
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9
My goal for the session would be to focus on:
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Trauma Healing for Your Pet: Releases emotional or physical trauma that may be affecting your pet’s behavior or well-being, helping them heal from past experiences.
Emotional Healing and Behavioral Support: Addresses emotional needs and behavioral issues, helping your pet feel more balanced, calm, and connected.
Physical Healing for Pets: Focuses on identifying and addressing any physical discomfort, pain, or illness your pet may be experiencing, promoting recovery and overall wellness.
Deep Soul Connection with Your Pet: Facilitates a deeper bond and understanding by connecting with your pet’s soul, thoughts, emotions, and experiences, strengthening your relationship.
Energy Balancing for Pets: Restores and balances your pet’s energy field to support emotional and physical well-being, helping them feel more at ease and aligned.
General Healing and Well-Being for Pets: A holistic session that supports your pet’s emotional, physical, and energetic balance, helping them feel calm, healthy, and happy.
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10
Let us imagine we are in session talking about your pet: Please describe one challenge/question or health condition you would like to focus on.
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This can be physical, mental, emotional or behavioral adjustments. You can keep this concise
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11
What would your ideal outcome at the end of the session be?
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What would you like to change with your pet
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12
Name
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First Name
Last Name
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13
Email
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example@example.com
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14
Age
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15
Occupation
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16
Address
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Time Zone
City
State / Province
Postal / Zip Code
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Lesotho
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Libya
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Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
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Saudi Arabia
Senegal
Serbia
Seychelles
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South Sudan
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Sudan
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eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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17
Where did you hear us from?
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Google Search
Social Media
Friend/Family Referral
Veterinarian Recommendation
Other
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18
If you were referred, please let me know their name.
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19
Signature
*
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Scope of Services and Medical Disclaimer:
Megan Bailey is a medical intuitive and energy healing consultant specializing in animal wellness. She is not a veterinarian or medical doctor. The services provided focus on holistic support, wellness, and prevention through energy healing rather than the diagnosis or treatment of specific medical conditions. If you suspect your pet has a health issue requiring veterinary attention, please consult a licensed veterinarian. Only a licensed veterinarian can diagnose and prescribe treatments. Any discussion of medications or supplements during consultations is solely for understanding your pet's current regimen and not for evaluating the appropriateness of their treatment. Decisions regarding changes to medication or treatment should always be made in consultation with your veterinarian. Megan Bailey’s approach emphasizes energetic practices to support optimal health and prevent illness in animals. The aim is to educate and empower pet owners to take responsibility for their pet’s well-being through positive lifestyle choices and energy healing practices. All advice provided should be considered at your own discretion. Discussions about health conditions during sessions are on an energetic level and should not be interpreted as a veterinary diagnosis. These sessions are not guaranteed to cure or prevent illness. While many pet owners report improvements in their pets' health and well-being, Megan Bailey does not guarantee protection from future health issues. By signing below, you acknowledge that you understand Megan Bailey is not a veterinarian or medical doctor. You agree to seek veterinary care if needed and recognize that Megan Bailey will not be held liable for any failure to diagnose, treat, or prevent illness.
Confidentiality and Disclosure:
You have the right to confidential treatment, and your privacy will be maintained. Confidentiality will be upheld unless client consent is given, or if there is a clear and imminent danger to yourself, your pet, or others, or as otherwise required by law. If there is any intention of self-harm or if you or your pet are experiencing urgent issues, it is your responsibility to seek immediate help from a licensed mental health professional or veterinarian. Megan Bailey will not provide crisis intervention and is not liable for failure to address such issues. You are expected to disclose any urgent matters so appropriate referrals can be made if necessary.
Payment and Cancellation Policies:
The consultation fee is due before the session. Cancellations made less than 24 hours before the appointment will incur a charge.
Communication and Support:
Megan Bailey is available for brief, general support between sessions but cannot offer comprehensive assistance via email or outside of scheduled sessions.
Acknowledgement and Responsibility:
By signing below, you confirm that you understand Megan Bailey’s role as a spiritual mentor and energy healer, not as a veterinary or psychological professional. You agree to seek veterinary advice if needed and acknowledge that Megan Bailey will not be liable for any health conditions or failures to diagnose or treat illness. You commit to providing accurate information about your pet’s medical conditions and medications and release Megan Bailey from responsibility for your individual response to the energies and information received.
Program Participation and Refunds:
Payment for sessions should be made at least 3 days in advance to secure your spot. Any session cancellations should be made with at least 24 hours’ notice to avoid charges. If joining a program or group coaching, you agree that it aligns with your goals. Refunds of 50% are available within the first week of participation; no refunds will be issued beyond this period.
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20
By checking this box and submitting this form, I hereby consent to receive email communications and promotional materials from Shed and Shift at the email address provided above. I understand that I can unsubscribe from these communications at any time by following the instructions provided in the emails
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