Booking and Consultation Form

Name*
Address*
Phone
Email address*
Name of patient if different
Age*
Type and Breed if an Animal
Your understanding of what the problem is*
What makes the problem better or worse?*
List all other health conditions that the patient has or has had*

Disclaimer : Julia Alabaster will work with you in a manner in accordance with the ethics of the profession. However, she assumes no liability for your medical conditions. Homeopathy is a powerful healing modality and must be employed under the supervision and guidance of a trained and experienced practitioner to ensure safety and effectiveness. Self-treatment for serious and chronic conditions is not advised.