Conscious Quantum Client Intake Forms

Kindly I request to return the signed intake and disclaimer form 48 hours prior to your appointment.

For the client intake form you have the option of downloading the PDF or a WORD document depending on your preference.
To be able to fill in the PDF document it is recommended to have adobe reader installed on the computer. Acrobat online sign in | Adobe Acrobat
Save the PDF on a computer, then choose “add tekst” save again and e-mail to
If it is not possible for you to edit the PDF or the WORD document on a computer, another option would be is to print the document, fill it in by hand, and e-mail a photo or scan copy to

If you have scheduled an animal communication session, please e-mail a recent picture of your animals face, showing both eyes, and a picture of their full body, as well as any questions you have for your animal. Please e-mail them to 48 hours prior to the session.

Thank you in advance

CLIENT Intake & Disclaimer Form PDF

CLIENT Intake & Disclaimer Form in WORD

DOG Intake & Disclaimer Form PDF

DOG Intake & Disclaimer Form in WORD

CAT Intake & Disclaimer Form in WORD

CAT Intake & Disclaimer Form PDF

HORSE Intake & Disclaimer Form PDF

HORSE Intake & Disclaimer Form in WORD

ICU Academy Registration Form

ICU Academy Parent Instruction Sheet

Conscious Quantum Offers
Personalized Energy Healing Services

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On location within greater Vancouver BC Canada. Territory of the Musqueam, Squamish, and Tsleil-Waututh Nations

We acknowledge the traditional, ancestral, and unceded lands of the Coast Salish peoples – Sḵwx̱wú7mesh (Squamish), Stó:lō and Səl̓ílwətaʔ/Selilwitulh (Tsleil-Waututh) and xʷməθkʷəy̓əm (Musqueam) Nations on which we live and breathe.


Wednesday to Saturday
10 am – 6 pm Pacific Time