Short History Form
To the best of your knowledge you have fully disclosed all medical conditions and medical
history as well as any other conditions that may affect your Wellness Consultation, Clay Foot Baths, Ion Foot Cleanse
Detox and/or Body Treatments with Naturel Vitality. By dating and submitting the form above, you agree to this statement.
Please Download,Complete and Print
Long Client History Form For Wellness Evaluations:
Cancellation & Payment Policy: