Client Intake Form

Essential oils are volatile plant medicine. It is important to make sure that all your medications and health concerns are taken into consideration before using blends. Please fill out the form in its entirety. If you would prefer to complete the intake over the phone, that can be arranged. Aromatherapy safety is always most important.

Feel free to contact me at: cbeckner@justessentialstoday.com

or by phone at 717-333-7207. I look forward to leading you on your path to wellness.