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    • Home
    • Services
    • Pregnancy Coaching
    • Herbal Medicine Products
    • New Clients
    • Contact
  • Home
  • Services
  • Pregnancy Coaching
  • Herbal Medicine Products
  • New Clients
  • Contact

New Client Intake Forms

Please download each of the first three files below (for and Adult Initial Consult), complete them, and return them to heather@fairfieldherbals.com at least 24 hours prior to your consult appointment. 

**NOTE: For Pediatric Consults, please download and complete the Child Intake Form, Informed Consent, and 3Day Food Journal.

FairfieldHerbals Informed Consent (pdf)Download
FairfieldHerbals Intake Form (pdf)Download
3Day Food Journal (pdf)Download
FairfieldHerbals Child Intake Form (pdf)Download

Fairfield Herbals

Edmonton, Alberta, Canada

780-707-6854

Copyright © 2021 Fairfield Herbals - All Rights Reserved.

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