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Forms

Download the Intake Forms here:

Intake 1-3...
Intake 4-9...


Please complete these forms and return to Shanti Ayurveda at least 48 hours prior to your scheduled appointment.

Please fax the intake forms to (530) 478-9105, and be sure and write my name at the top.

Or you can mail them to me, 700 Zion Street, Nevada City, CA 95959.

Please email me and let me know when you have submitted the forms (and the means of submission) so I can watch for them.

 

“A rose's fragrance is so powerful, it makes you want to smell it.
Your grace has to be so powerful, that people want to feel it.”

~ Bhajan