Terms of Service Agreement

Consent to these Terms of Service is required prior to consultation.

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Name of Client

First Name

Last Name

Name of Legal Guardian (if applicable)

First Name

Last Name

Do you consent to Terms of Service as outlined here and which you have read? https://www.marysheikohomeopathy.com/terms-of-service

Yes

Date

YYYY

Client Signature (or Legal Guardian)

Your Digital Signature is Your Consent for Yourself or Your Dependent