Booking - Full Name* First Last Phone*Email Address* Age* Taking any medications?Stress levelsSelect levels012345678910Any scans, blood test results Drop files here or Select files Max. file size: 512 MB. Anything else in your history, illnesses/injuries that you think we should know.Brief summary of what you need help with and what you are wanting to achieve.Dietary overview Vegan Vegetarian Gluten Free Meat Diary Keto Processed Food Junk food Alcohol Sugar Physical fitness/exercise/activityVaccination status Non vaccinated Vaccinated You can book an in person appointment.You are only eligible for an online appointment.HiddenSection BreakPay first $10Payment Method*PayPal Checkout MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name HiddenSection BreakThe disclaimer I agreeWorking with Wellness Centre practitioner, Ora Holland is not intended to diagnose, prescribe, treat, or cure any disease, physical or mental and should not be construed as a prescription, a promise of benefits, claims of cures, or a guarantee of results to be achieved. The information on this website, instruction or advice given by Wellness Centre practitioner, Ora Holland, is for educational purposes only, and not intended to be treating, curing, mitagating, or preventing any type of disease or Medical condition, or a substitute for competent professional medical or psychological diagnosis and care. You should not discontinue or modify any medication presently being taken pursuant to medical advice without obtaining approval from your healthcare professional. Before beginning any type of natural, integrative or conventional treatment regimen, it is advised to seek the advice of a licensed health care professional. As a Wellness Centre client, you must take complete responsibility for your own physical health and emotional wellbeing. Hold Harmless Agreement I have read, understood and agree to hold harmless The Wellness Centre and practitioner, Ora Holland from any claims, liability, or loss incurred directly or indirectly by me, as a result of the use or application of any information and/or techniques or methods used in a session. I have read, understood and agree with the Disclaimer and Hold Harmless Agreement, and consent to participate in a session with Ora Holland.