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 Flower Essence to be created.
All your personal information is treated with strict confidence and will not be given to a third party.
You understand a Naturopath does not diagnose illness, disease or any other physical and mental disorder, and we do not prescribe medical treatment.
Payment for your child's Flower Essence is $20 includes postage within Australia. Payment must be completed before dispensing of Flower Essence.