Working with the Shaman

Intake Form Instructions

Try to answer the questions as completely as possible. If, you are experiencing issues that you can’t describe, you may enter “Can’t describe”. We are hoping that you bring as much to the form as you would like us to know going into a session with the Shaman. Your privacy matters to us! This information is emailed ONLY to the Shaman and not retained on the site, or any records we store. Please provide a valid email address and telephone number for us to contact you. If you have any questions, please contact us at

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