Personal Health History Form
Natural Health Counselling is a complete, holistic approach to health and vitality. It is not limited to specific disorders or symptoms. Complaints or symptoms uniquely manifest, from different origins, for each individual. A broad knowledge of information is required in order to establish your unique path to wellness. The more information that you are able to provide and the more complete the form, the easier it is to guide you to feeling wonderful.
prepare for your first visit we ask you to complete an extensive
questionnaire. For your convenience the form is available
electronically and can be viewed, completed and printed in Adobe
Acrobat Reader. If you do not already have Adobe Acrobat Reader
installed on your workstation, the latest copy can be downloaded for
free by clicking:
You can either:
Fill out the form electronically, print it, sign it and bring it to your first appointment
Print the form, fill it out manually, sign it and bring it to your first appointment.