Contact 1 — Healing Your Way To Health

FREE 30 minute consultation!

Fill out the form to contact Sue and schedule your FREE 30 minute consultation!

HealingYourWayToHealth@gmail.com

Name

First Name

Last Name

Birthday

YYYY

Phone

(###)

###

####

Country

Height

Weight

Gender

Primary Health Concerns?

Have you received treatment for these concerns?

Have you had success with these treatments/concerns?

Policy Acknowledgment

By clicking this box you acknowledge the policy below

*By submitting this form you have read and understand everything on this page. I acknowledge Sue Hofman is an integrated health practitioner and does not diagnose, cure, or treat any illness or disease. Further, by submitting this form the undersigned releases Sue Hofman from any and all liability for any failure to identify any medical condition or disease. It is understood and agreed that this is not the purpose of her natural health services. Sue Hofman is an insured health practitioner and All Information provided is for education purposes only and is not intended to treat, cure, diagnose, or prevent any disease.