Aromatherapy is an incredible healing art and science that supports and enhances the inviduals ability to heal and maintain health. I understand that this consultation is designed to gather information so that my practitioner is able to design and create aromatic products based upon the unique needs and goals of my child. I undersand that my aromatherapy practitioner, Elisabeth "Libby" Vlasic, does not diagnose, prevent or treat any illness, disease, or any other physical or mental condition. Furthermore, I understand that this treatment is not a substitute for medical treatment and it is recommended that I see a qualified professional for any physical or mental condition that my child may have. This consultation does not take the place of a medical evaluation. I have read the above infomation and hereby give my permission for Elisabeth "Libby" Vlasic to design an aromatic program for my child based upon my unique needs and goals. *
Please type your name in agreeance, and indicate today's date. Please add your child's name in brackets.