Intake form

Help us serve you better

I’m offering 5 people the chance to receive a free professional herbal consultation in exchange for permission to use your case (anonymised) as part of my research and educational case studies.

Applications close 30th November 2025 — don’t miss out!

Name *

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What services are you interested in?

Please select at least one option.

Herbal Consultations

Naturopathic Treatments

Iridology consultation

How did you hear about us?

What are your main health concerns?

Have you previously consulted with a herbalist or naturopath?

What is your preferred method of communication?

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