CONSENT FORM

Please complete the information in full and then click on the acceptance button to send.

Alternatively click here for a form you can print and send by post.

ANIMAL DETAILS:
“I Michele Walton expect you have the advice of a vet and to do so if you have not. Shamanic Healing for Animals is complementary to veterinary medicine not an alternative to it”
Type of Animal to be treated:
Breed:
Name of Animal:
Location:
CLIENT DETAILS:
“I hereby give permission for Michele Walton to work with the above mentioned animal”
Guardian's Name:
Address:
Telephone Number:
Mobile Number:
Email Address:
Date:
I confirm I am the owner/caretaker of the animal to be treated (please tick).
A completed Consent Form must be received before treatment can begin.
Acceptance Button:

Disclamer:  These consultations are not a substitute for professional medical or veterinary care.