Olga Saletsky - Classical Homeopath
  • Welcome
  • About Olga
  • service
    • forms
    • where to buy remedies
  • homeopathy
    • books for you
  • Contact Olga
    • Maps and Directions
  • Success Stories
    • Add your Own testimonial!
  • Gallery
  • Welcome
  • About Olga
  • service
    • forms
    • where to buy remedies
  • homeopathy
    • books for you
  • Contact Olga
    • Maps and Directions
  • Success Stories
    • Add your Own testimonial!
  • Gallery

 forms

Forms

Download the Forms, fill them out electronically or print and hand write. Please email or bring the forms to your initial appointment.

Disclaimer: By typing your name in the forms, you are signing the specific form electronically. You agree that your electronic signature is the legal equivalent of your manual signature on the specific form.

Note: The child form is for clients under the age of 18.


client_information_form_adult_071623.pdf
File Size: 284 kb
File Type: pdf
Download File

client_information_child_0716123.pdf
File Size: 285 kb
File Type: pdf
Download File

informed_consent.pdf
File Size: 163 kb
File Type: pdf
Download File

payment_form.pdf
File Size: 186 kb
File Type: pdf
Download File

service_fee_form_071623.pdf
File Size: 142 kb
File Type: pdf
Download File


Olga Saletsky, Classical Homeopath
Phone: (630) 677-1325
email: [email protected]

Phone: (630) 677-1325
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