Each being is unique. No two persons are ever created exactly the same. Therefore, any attempt made to heal must be approached by treating each person individually according to their own particular patterns of disharmony.
About the Senses of the Soul Health History Questionnaire:
- You may want to grab a hot drink and allow at least 15 minutes to fill out this form, which was designed to create as complete a picture of you as possible.
- Your answers can always be adjusted later if you want to add something you forgot, or if you need to exit out before finishing you can submit your forms then return later to edit and finalize them.
- If you are not sure how to answer a question(s), or if you prefer not to answer a question, leave it blank for now. We can discuss it during your initial consultation.
- All information will remain confidential and would only be released with your written consent.
- Please note: all appointments will take place via Zoom and will no longer be in person
PLEASE NOTE: that some of the herbal medicines that I use for these consults contain alcohol (herbal tinctures). If you have an aversion to alcohol and will not take natural medicine in this form, then I cannot have you as a clinical client.
Samantha Orthlieb, MH, RH
Psychospiritual Nature Medicine Therapist
Contemporary Medicine Woman
Senses of the Soul Ltd
1 - 587 - 899 - SOUL (7685)