New Client Form

Are you a new client? 

It is a requirement of the Therapeutic Goods Administrator of Australia (TGA) that I ask all new clients a few general health questions to ensure the products you’ve selected the appropriate for your health goals.

If you’re an existing client you don’t need to complete this form (yay!) so you can go back to the home page or shop my range of plant medicine.

Ally x

    Are you pregnant or breastfeeding?