Information Form

client_information_form_child_063017_fillable.pdf
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client_information_form_adult_063017_fillable.pdf
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Download the Information Form, fill it out electronically or print and hand write. Please email or bring it to your initial appointment.

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

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Olga Saletsky, Classical Homeopath
Phone: (630) 677-1325
email: olga.saletsky@comcast.net

Main Office:
4300 Commerce Ct, STE 300-16
Lisle, IL 60532