Phone number *

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Preferred service *

In person (Seven Hills, NSW 2147)

Online via zoom

Preferred months *

Chloe will be in contact with you directly to schedule your Initial consult and Follow ups

July (Initial consult), August & September (Follow ups)

August (Initial consult), September & October (Follow ups)

September (Initial consult), October & November (Follow ups)

October (Initial consult), November & December (Follow ups)

If you chose to complete this service online via zoom, do you have access to reliable internet connection, video and audio?

Yes

No

I understand that I will need to complete the consent form prior to committing to this case study *

Yes

I understand that this case study is a commitment to my healing journey and to Chloe’s Homeopathic training. I agree to attend all three sessions (including one initial consultation and two follow-up sessions) over a 3 month period. I am committed to seeing the process through in its entirety. If I need to reschedule, I will do my best to provide at least 48 hours notice so we can find a suitable alternative *

Yes

I understand that the initial consultation will run for approximately 60–90 minutes, and each follow-up session will be between 30–60 minutes in length, depending on what is needed at the time *

Yes

I understand that the total cost for the three session case study is the discounted price of $200 AUD. This price covers one initial consultation and two follow-up sessions. Homeopathic remedies are not included in this session fee. After our consultation and in discussion with Chloe’s tutors, the remedy will be arranged through the Homeopathic pharmacy, Martin and Pleasance or RMDY Collective. The pharmacy will contact me directly to discuss payment and shipping details for my personalised remedy. Alternatively, Chloe will send me a link to the RMDY Collective website and I will purchase my remedy directly from there. Remedies range anywhere between $14-$29 AUD plus shipping *

Yes

I understand that the full payment of $200 AUD is required to confirm my place in this case study offering. I acknowledge that this fee is non-refundable and secures my commitment to the full three sessions *

Yes

In the case of a medical emergency or urgent health concern, I understand that I should always seek immediate support from a qualified medical professional or emergency services *

Yes