Registration Form (Confidential) download

Select the Word or Page version, download, fill out and email me before your first consultation.

 Word Format

Please, take the time to fill out the form and email it back to me a day prior consultation. Thank you

PagesFormat for MAC

Please, take the time to fill out the form and email it back to me a day prior consultation. Thank you

Adresse des consultations

Ingrid Schutt : (514) 991-6316

Montreal Canada and Online Worldwide

Ingrid@homeopathe.ca

For your child

Bring or send me a copy of your child’s vaccination card if your child was ever vaccinated.

©2019 Ingrid Schutt Homéopathe uniciste