Animal Companion Session Intake Form

Person Healing Session Intake Form

If you are having an animal-human tandem healing session, you'll need to also fill out an intake form for your animal. For assistance email info@tammybillups.com
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.
Your Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code and Country
What source brought you to Tammy's work?*
Web search? Books? Referred from?
What are your most pressing issues that you'd like to work on during your session?*
Describe any emotional symptoms and parts of your background you feel are relevant to your current day healing journey.*
What are your physical symptoms, if any?*
List any medications/supplements you are currently taking, and any diagnosis.*
Have there been any emotional changes in the home around the time of the current issue(s)? (New family member, move, loss, etc.)*
Have you tried using this type of healing modality before? Perhaps share, if relevant, what other types of healing modalities you have used.
Please share your main concern or intention for what you are hoping to accomplish during your healing session.*
Bioenergetic Healing Disclaimer

As with all complementary and alternative therapies, the sessions are not meant to be a replacement for proper medical diagnosis, treatment or specialist care from your Medical Practitioner / GP / Therapist or Counselor. I have always worked within the parameters of my profession and as such, will never diagnose client’s conditions which could interfere with a doctor’s treatment If you are currently under medical care and are taking prescription medication by your GP / Medical Practitioner / Consultant, please do not stop taking the medication without seeking the advice from your doctor(s).

Bioenergy Healing Sessions should never be used as a substitute for medical care & advice. Always consult a doctor for any concerns regarding your well-being.
Please return to Tammy's website (to the same page new client page with the intake forms) for payment information and step-by-step instructions for your healing session. 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 conducted via zoom (audio-only). Any questions email info@tType a questionammybillups.com Thank you!
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Person Healing Session Intake Form