Get Aromatherapy Intake Form

Completing the Aromatherapy Intake Form is an essential step in ensuring that your aromatherapy experience is safe and beneficial. This guide will provide you with clear instructions on how to fill out the form online, catering to your health needs and preferences.

Follow the steps to successfully complete the form.

1. Press the ‘Get Form’ button to access the Aromatherapy Intake Form and open it in your preferred online editor.
2. Begin filling out your personal information. Enter your first and last name in the designated fields, along with your date of birth.
3. Provide your address, including the street, city, state, and zip code. Make sure all information is accurate to avoid any issues in communication.
4. Input your contact numbers in the sections for home, work, and cell phone. This information will help the practitioner reach you if necessary.
5. Reflect on your overall health and answer the question provided in the form. Describe any general health concerns you may have.
6. Indicate your expectations regarding essential oils by detailing what you hope they can accomplish for your health.
7. If you have any chronic illnesses, provide the details requested. Include the type of condition, duration, treatments attempted, and what has been effective or challenging.
8. List any acute conditions you would like to address through aromatherapy.
9. Mention any allergies you may have, as this information is crucial for selecting appropriate essential oils.
10. Answer the questions regarding your pregnancy status, epilepsy, and blood pressure levels accurately for your safety.
11. Share which oils or aromas you are attracted to, as well as any that may disturb you. This will help tailor your experience.
12. If you are under a physician’s care, list the conditions for which you are receiving treatment. This aids in ensuring compatibility with the aromatherapy.
13. Provide a list of any medications you are currently taking, as some might interact with essential oils.
14. Affirm that all responses are accurate by signing your first name, last name, and date in the signature section.
15. Once you have completed the form, you can save your changes, download a copy, print it, or share it as needed.

Complete your aromatherapy intake form online today to start your journey towards enhanced well-being.