By submitting this form you are giving consent for Naturopath, Dimity Ellis, from Hinterland Naturopathy to collect and store your personal information as part of your case file. This information is necessary for proper and effective Naturopathic treatment of your condition.
All your personal information is treated with strict confidence unless I am legally obliged to give information to a third party, if so your information wont be released without your permission.
You understand a Naturopath does not diagnose illness, disease or any other physical and mental disorder, and we do not prescribe medical treatment.