Support safer, more personalized care

A clear, printable layout designed to help you gather essential client details with ease and professionalism. Whether you’re just starting out or refining your practice, this form is a foundational tool for ethical herbalism.

What’s Inside:

✅ Personal, contact, and emergency info — all in one place
✅ Space to record client goals, health history, and contraindications
✅ Consent and practitioner disclaimers to support ethical care
✅ Strengthens client-practitioner trust through transparency
✅ Helps streamline your intake process and reduce admin time

Please note: This form is intended for educational and practitioner use only. It is not a legal document. Adapt it to suit your unique scope of practice and consult a legal advisor where needed.