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Consultation Forms

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Please print and bring to first appointment

Scent from Heaven Natural Health Centre  

Please print and fill out the 3 day food diary and consent form and bring to your first appointment.  An intake form will be provided when you arrive for you to fill out.

Food Diary

 

Consent Form

 

 

Jennifer Pottruff B.Ht, B.Sh, CCT, RH, HD

Natural Physician, Homeopathic Physician, Registered Herbalist, Certified Colon Therapist

As a Homeopath, Herbalist & Nutritionist, I am not a Medical Doctor.  I do not diagnose, or prescribe pharmaceuticals, and I promise no cures. You will need to see your Doctor for a Diagnosis.  The therapies I practice can help the body to heal itself naturally as a whole. I also do not endorse any ads that are on this website as I cannot control what is advertised by the website provider.