Natural Lore Form

If you are an existing client please do NOT fill out this form again – PLEASE LOGIN first at the top of this page, you can access the client resource platform and update your profile details here

If you are new to this platform and have been directed here by a Practitioner or trusted friend – Welcome.

Before commencing this intake form, please ensure you read and understand our Privacy Policy and Terms of Service and our Association of Agreements Submitting the form below is an agreement of these terms.

• The below questionnaire has been designed to help determine the most appropriate plant medicine protocol for you. This is an essential requirement for an initial consultation to assist in providing the correct on-going support for your wellness goals.
• Ensure you have at least 15 minutes to complete the form in one sitting, or have essential information handy elsewhere on your computer for you to copy and paste as needed as you will not be able to save the form and come back to it.
• If you are completing this form on behalf of a child, another person or an animal, please ensure your contact details are noted in the "Carers" section and only complete questions that apply to the relevant situation.
  
• Level 1 Consultation Fee - $150 – payable upon submission of form. This includes consultation, recommendations, access to this resource platform including Practitioner only formulas, and support for 1 month.
  Your practitioner can discuss ongoing support and further consultations if needed, based on your personal circumstances. If you are experiencing financial difficulties, please contact us on the email below.
• After your form is submitted you will receive a welcome email that contains important information about your consultation and our Frequently Asked Questions (FAQ's) that may be helpful for you and your support team.

 If you do not have a preferred Practitioner or Wellness Clinic, you will be connected with the most appropriate Certified Natural Lore Practitioner to suit your circumstances.

• The email and password you select for your account will be your access to on-line product ordering and support resources.
  Please note that your application will be approved at the time of consultation which will then grant you full access to the site and NOT before

If you have any questions or issues with this form please contact This email address is being protected from spambots. You need JavaScript enabled to view it.