HERBAL CONSULTATION FORM

Our herbalist will carefully review the information you have provided and will get back to you via email with further details and next steps.

Please Note: The herbalist providing this consultation is not a licensed medical practitioner and does not diagnose, treat, or cure any medical conditions. Recommendations provided during the consultation are based on traditional herbal knowledge and practices and may not be suitable for everyone.

CONTACT + GENERAL INFORMATION

Name

First Name

Last Name

Email

Phone

(###)

###

####

Age

Current Symptoms or Health Concerns

Previous Experience with Herbal Remedies (if any)

Preferred Forms of Herbal Medicine

(e.g., teas, tinctures, capsules)

Any Specific Herbs of Interest or Concern

What are your main health goals or concerns?

What outcomes are you hoping to achieve with herbal support?

Any Other Relevant Information or Questions?

Our herbalist will carefully review the information you have provided and will get back to you via email with further details and next steps. Thank you for your patience and for choosing Crosenest Collective for your herbal consultation. If you have any questions or need further assistance, please feel free to email us at hello@crosenest.com.

HERBAL CONSULTATION FORM

+YOUR FORM HAS BEEN SUBMITTED+