Complimentary Consult Form

Please try your best to focus on one health concern during your mini-consultation to let our team give it our full attention. If a little more research is required to find the best herbs suited for you, you may have to wait or come back to pick up your custom herbs, tinctures, creams or capsules.

Mini consultations take up to 15 minutes and cost $5. If 15 minutes isn't enough time, we offer full herbal and nutrition consultations.

What is the main reason for this consult?*

Customized FormulasGet to Know a PractitionerGeneral Information

Name*

First NameLast Name

How would you prefer we conduct this complimentary consult?*

EmailPhone

Email

example@example.com

Phone Number

Area CodePhone Number

In brief words please share what you are looking to get support with? *

Thank you for taking the time to fill out this form. Discretion is important to us. Apotheka Herbal Boutique will never share your personal information with any third party without any written request/consent to do so. We look forward to getting to know you.