Animal Companion Session Intake Form
If you want an animal-human tandem healing session, you'll need to also fill out the human intake form. For assistance email info@tammybillups.com
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Your Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code and Country
Your Animals Name and Age
*
Name
Age (best estimate if unknown)
Species
*
Animal Species (dog, cat, horse, etc.) and Breed
Male or Female?
What source brought you to Tammy's work?
*
Web search? Books? Referred from?
How and when did this wonderful animal come to be with you?
*
Are there other animals in the house? Please share pertinent details about the interaction that might be relevant to your animal's healing session.
*
Share any details you are aware of about their background that might be contributing to your animal's current day issues.
*
What are his/her physical symptoms?
*
List any medications/supplements your animal is currently taking, and its current diagnosis.
*
Does he/she have any negative behaviors? How long have these been going on?
*
Describe his/her personality.
*
What is her/his current diet?
*
Have there been any emotional changes in the home around the time of the new behavioral or physical issue? (New family member, move, loss, etc.)
*
You've signed up for a deep healing session. Share your intentions, hopes, and main concerns regarding any emotional or physical healing you desire for your animal companion.
*
Please upload one or two photos of your animal.
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Please return to Tammy's website for payment and step-by-step session instructions. www.tammybillups.com If you reside in the U.S., your session will take place via phone. If you reside outside of the U.S. your session will be via zoom (audio-only). If you chose to receive an animal-human tandem session, be sure to fill out the Person intake form as well. Any questions email info@tammybillups.com
Submit Intake Form
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