Client Intake Form - Pet Clearing

  • Please provide pet's full name.
  • Date Format: MM slash DD slash YYYY
    Please provide the date of the animal's birth or the date that is close to the date of birth. If you do not know the date of the animal's birth, please pick a date that is the closest.
  • Choose what you know. If a stray, put in your address, or where you found the pet. The place of birth is best, but many times we do not know. Provide the best description you can. Put in N/A in the field, when you do not know the answer.
  • Here you can put how you received your pet or animal, how they became your pet, etc.
  • Please provide a picture of the pet receiving the healing/clearing. Only upload one picture where the eyes can clearly be seen. DO NOT UPLOAD A GROUP PICTURE. Single picture of only the animal. Thank you.