Sub Rosa - Intake Form

It is important that you fill out this form prior to your first session.  

All information will be kept safe and confidential. All information will be viewed in a compassionate and non-judgemental capacity. Please fill out as much detail as possible. Any questions you do no feel comfortable with answering can be left out. 

The block of 3 sessions is £250 or 6 £480. This includes Essence of Rose Tincture during the sessions and for you deepen with in between, including p&p for me to send it to you if we are working online

Please pay a deposit of £75 for 3 or £150 for 6 after submitting your form. The remaining balance due prior to the first session. If you personal circumstance means you would like a different payment option please do let me know and we can see what we can arrange.

Bank details for payment:

Ms E A Taylor 

Account No: 75471809 Sort Code: 60-02-38

Reference: Sub Rosa