Get Aromatherapy Intake Form 2020-2025

Filling out the Aromatherapy Intake Form online is a crucial step in initiating your aromatherapy journey. This guide provides clear, step-by-step instructions to help you complete the form accurately and confidently.

Follow the steps to fill out the Aromatherapy Intake Form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editing interface.
2. Begin by entering your name and the current date at the top of the form. This helps establish your identity and the timing of your consultation.
3. Fill in your address details, including state and zip code. This information can help tailor the service and ensure accurate communication.
4. Provide your phone number and email address, ensuring that these details are up to date for follow-up communications.
5. Enter your date of birth and age to provide context regarding your health considerations.
6. Indicate your occupation, as this can influence your aromatherapy treatment based on your lifestyle.
7. In the 'Reason for visit' section, describe why you are seeking aromatherapy services. Include your primary concern and specify when this concern began.
8. Outline your idea of what may be causing your concern, as well as factors that improve or worsen your condition.
9. If applicable, answer the questions regarding pregnancy, trying to conceive, or breastfeeding to ensure safe treatment.
10. Review chronic conditions listed and check any that apply to you, including high or low blood pressure, epilepsy, and allergies.
11. If you are under the care of a physician, list any conditions you are being treated for, along with any medications and surgeries you have undergone.
12. Complete the social history section by indicating daily usage of coffee, alcohol, tobacco, and any other drugs. Also, provide information on your exercise routine and typical sleep patterns.
13. Include any additional information that could be important for your treatment in the designated space provided.
14. Answer aroma-specific questions, including which aromas you dislike, enjoy, or have allergic reactions to.
15. In the 'Other concerns' section, note any other symptoms or issues not previously mentioned.
16. Carefully read and acknowledge the guidelines included towards the end of the form. Your signature and date will confirm your understanding and agreement.
17. Once all sections are complete, save your changes, and consider downloading, printing, or sharing the form as needed.

Begin your aromatherapy journey by completing the Aromatherapy Intake Form online today.