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Any forms that state they are required for services must be read and signed before or at the time of service provided. You may download them here or be provided with a copy at the time of your appoinment. If you are filling out a questionnaire or survey for your appointment, please either complete it before you arrive or give ample amount of time to complete it at our office before your appointment.
Wellness Consultation Client Intake Form (REQUIRED)
Disclaimer - All Services (REQUIRED)
Aqua Chi Client Statement Form (REQUIRED)
Client form for Flower Essence Remedy Consultation and/or Natural Skin Care Consultation (REQUIRED)
Flower Remedy Questionnaire

Information on this site is provided for informational purposes and is not meant to substitute for the advice
provided by your own physician or other medical professional. You should not use the information contained herein for diagnosing or treating a health problem or disease, or prescribing any medication.
You should read carefully all
product packaging. If you have or suspect that you have a medical problem, promptly contact your health care provider.Information and statements regarding dietary supplements or protocols provided within this website or during personal
consultations have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure or prevent any disease. Laura Dyke is not a medical doctor, and her information and advice are not substitutes for
competent medical care. The information found on this website and provided during consultations is designed to support, and not to replace, the relationship between the patient and his or her physician.
By using our website or engaging
in any of our services or use of products suggested, you understand and acknowledge that you are solely responsible for your own decisions, actions and your own health.
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Key Concepts, Vitality Health Center & Facts4Health.com
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