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Andi Locke Mears
  • Home
  • About
    • Andi's Media Kit
    • About Natural Support
    • About GHk/GNM
    • About Helmut Pilhar
    • About Giovanna Conti
    • Case Studies
    • Health History Form
  • Services
    • Consultations
    • GNM/GHk for Everyone (BHM)
    • Case Study Club
    • GNM/GHK for Practitioners
    • Psychoses & Constellation Course
    • GNM/GHK Buddy
    • GNM/GHK CareTeam
    • GNM/GHK MasterClass
    • Studienkreisen
    • Workshops
  • Blog
  • Podcast
  • Video
  • Event Calendar
  • Shop
  • Contact

Health History Form

Please complete this form and submit it 48 hours before you consultation. You will know you have submitted it successfully when you see a Thank you message after clicking the Submit button!

If you want to add additional information after you have submitted your form, write the additional info
in an email here. 

​Disclaimer:

Please know that the information you receive in your consultation is not medical advice; instead, it is a sharing of knowledge and information from the education, research, training, and experience of Andi Locke Mears. This is not intended to replace the relationship with your primary health care providers.


You have the right to make your own health decisions based upon your research and in partnership with your primary health care providers, ND, MD or otherwise. 

I, by clicking the submit button, reserve the right to seek or ask nutrition or wellness care advice, counsel, recommendations, suggestions, assessments, evaluations, test and/or treatments, regimens or modalities from the nutritionist or doctor or health care provider of my choice for any health reason or purpose.

I acknowledge that the information and service provided by Andi Locke Mears is not used to prescribe, recommend, diagnose, or treat a health problem or disease. It is not a substitute for medical care.  I agree to hold Andi Locke Mears harmless from any present or future liability. 
 

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  • Home
  • About
    • Andi's Media Kit
    • About Natural Support
    • About GHk/GNM
    • About Helmut Pilhar
    • About Giovanna Conti
    • Case Studies
    • Health History Form
  • Services
    • Consultations
    • GNM/GHk for Everyone (BHM)
    • Case Study Club
    • GNM/GHK for Practitioners
    • Psychoses & Constellation Course
    • GNM/GHK Buddy
    • GNM/GHK CareTeam
    • GNM/GHK MasterClass
    • Studienkreisen
    • Workshops
  • Blog
  • Podcast
  • Video
  • Event Calendar
  • Shop
  • Contact