Animal Companion Session Intake Form

Person Healing Session Intake Form

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.)*
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. Thank you!
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Person Healing Session Intake Form