If you are coming for a treatment, please download and fill in this record form (you will need Adobe Reader to read and print it, or use Google Docs or a similar online service).
All I need for medico-legal reasons is your name, address, phone number, name of registered doctor and current medication. However, the history of accidents and injuries, dental work, eyesight and family medical history can also be relevant. For cranial work, birth details, and anything you know about your mother’s pregnancy with you might also have a bearing. However, you might also find the form (which will not be an ‘official’ record) doesn’t allow you to tell your ‘story’, in which case just use it to make your own more realistic notes. Whatever you are able to do, it will save us some time at your first session.
If you have an interest in crystals, astrology (and maybe have your own birth chart), ayurvedic healing, acupuncture/Chinese medicine, Buddhism, past lives, shamanism and so on, these and many other topics can also be included.