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: olga.saletsky@comcast.net
Main Office:
1001 Warrenville Rd, STE 150, Rm 3
Lisle, IL 60532
Phone: (630) 677-1325
1001 Warrenville Rd, STE 150, Rm 3, Lisle, IL 60532
All Rights Reserved © 2019
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