Whisper of The SelfWhisper of The Self
homeshamanismservicesmichele waltoncase studiesanimal storiesconsentthe messageself studypostcontact animal human relationshipspacer

CONSENT FORM

Please complete the information in full and then click on the acceptance button to send. To print a form you can send by post click here

ANIMAL DETAILS:
 
Type of Animal:
Breed:
Name of Animal:
Location:
Gender: Male:         Female:          Castrated/Neuteured:
medicine wheel
CLIENT DETAILS:
 
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).
 

“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”.

“I hereby give permission for Michele Walton to work with the above mentioned animal”.

 
Acceptance Button:
 
Home  Shamanism  Consultations  Michele’s Story  Case Studies  Animal Stories  The Message  Self Study  The Post Box  Contact  Consent Form

© Whisper of The Self 2007-2011 | Holistic Websites by Sandlandesign