Ancestral Healing
New Client Form

Please read these Ancestral Healing Acknowledgments & Disclaimers and fill out the required form below before our first Ancestral Healing session. Please email if you have any questions or concerns about these items.

Name

First Name

Last Name

Confirm you have read the Ancestor Healing Acknowledgments & Disclaimers

By typing in the field below, you agree that you have had the opportunity to review the acknowledgments and disclaimer.

Do you have a way to get yourself grounded and centered?

I am comfortable with the practice and am able to get into a grounded headspace.

I am familiar with the concept, but I am not confident in my ability.

No, I am not familiar with the process.

We use spiritual/ritual boundaries in this process. What is your experience with these types of boundaries?

I am familiar and comfortable with setting spiritual/ritual boundaries.

I am familiar with the concept, but I am not confident in my ability.

I am not familiar with the process.

Do you have any guides or powers you already work with (ex: Ganesh, Freyja, mountain spirits, etc)? *

Is there anything you feel is important for me to know before we work together?

Ancestral Healing New Client Form

Ancestral Healing
New Client Form