Private Intake • Report Precision • Non-Medical

NatooralesNew Client Intake Form

Please complete this form carefully so the Natoorales team can prepare a clearer Bio-Audit™, consultation, or wellness report with better precision.

The most useful intake includes your current concerns, timeline, labs or scans, medications, supplements, lifestyle patterns, emotional load, previous interventions, and attached documents.

1. Client details
2. Main reason for support
3. Top symptoms and timeline
4. Medical context and safety boundaries
5. Lifestyle, exposures, and root-cause context
6. Previous interventions and follow-up details
7. Attach documents and selfie
Accepted: PDF, JPG, PNG, WEBP, Word, Excel, CSV, TXT. Maximum 10 MB per file, 25 MB total.
Optional. Useful only when relevant for practitioner context.
8. Consent and acknowledgement

Scope & Privacy

Coaching and education only.

Natoorales provides wellness coaching and education. We do not diagnose, treat, cure, prescribe, or replace licensed medical care. Intake information is used to understand wellness context, stress patterns, regulation capacity, lifestyle factors, and safe next-step priorities.

If symptoms are severe, sudden, escalating, or unsafe — including chest pain, fainting, severe shortness of breath, sudden weakness, severe neurological changes, severe psychiatric crisis, or self-harm risk — seek urgent qualified care first.