Wellness Clinic Intake Forms 2020

Welcome to The Church Of Ubuntu Wellness Clinic Intake Forms

We are here to support you take your health back into your own hands. Ubuntu Wellness Clinic’s 2020 Vision includes providing a variety of services and products.

An Intake Form is required to be completed for each of the packages.  Please understand the importance of selecting the right package for you.

Please read instructions carefully for the Intake Form and payment procedure.

Complete the intake form and click submit. If it does not submit, please recheck the form and correct any error messages and try again.

Once the form is submitted, you will be directed to the Nutritional Guidelines which will begin your consultation. We recommend you start following the Nutritional Guidelines as soon as practical prior to one of our team members contacting you, in preparation for starting your Ubuntu Well-being program.

It is imperative once your form is complete for you to please take the time to read through the Intake Form Support Information, preferably with loved ones or carers who will be assisting you. 

Once your Wellness Clinic Intake Form is complete and submitted you are entered in our system.  Our consultants read your case particulars who create a comprehensive program for you including: diet, health, lifestyle, natural medicine recommendations and where to purchase medicines.

Once the Intake Form process is complete, you will receive a phone call to book an appointment with one of our consultants as soon as possible.

We look forward to sharing your journey to wellness.

If you experience any difficulties, please either email or call us for assistance:

Email:      intakes@churchofubuntu.org  

Tel:          0478 044 367 10am-5pm Monday to Friday

The Ubuntu Team.      

We are now able to offer the following packages:   

 

Wellness Clinic Intake Form

Provides access to our Clinic
Fee:   $80
Includes:
Initial Consultation with one of our Consultants
Follow Up consultation – approx 3 weeks after initial consultation
Nutritional Guidelines

To begin your journey back to wellness please purchase the intake form using the purchase button below:
Wellness Clinic Intake Form
AU$80.00

 

Complete Care Package

Provides access to the Wellness Clinic Intake Form & Kick Start Your Health With Hemp Care Package
Fee:   $210
Includes: 
Initial Consultation with one of our Consultants
Follow Up Consultation – approx 3 weeks after the initial consultation
Nutritional Guidelines
1kg Hemp Seeds
15ml Liquid Magnesium
200gm Anti-oxidant Enzyme Force Powder
Sativa Sisters Recipe Book
KSYHWH nutritional Guidelines
Membership and support in a private Facebook Group
Please note additional products will be recommended and available after your consultation and will incur additional costs

To begin your journey back to wellness please complete the intake form using the purchase button below:
Complete Care Package Intake Form
AU$210.00

 

Animal Intake Form

Provides access to our Clinic and products for your pet
Fee:   $50
Includes:
Initial Consultation with one of our Consultants, plus a check-in phone call or email 3 weeks later
Guidelines for Animals

To begin your pets journey back to wellness please complete the intake form using the purchase button below:
Animal Intake Form
AU$50.00

 

Dog Care Package

Valuable information & products to help your dogs health
Fee:   $95
Includes:
Reality Snap Cookies for dogs and guidelines
500gm Hemp Seeds
250ml Hemp Nectar
Postage included
* $30 follow-up consultation available as an extra cost, please advise our staff when your order is being processed if you wish to book in for one

To begin your dogs journey back to wellness please complete the intake form using the purchase button below:
Dog Care Package Intake Form
AU$95.00

 

Follow-Up Consultation

Provides further support and reassessment with your consultant
Fee:   $30
Includes:
Available only to existing clients. Phone consultation to discuss your needs, answer questions and reassess if necessary.

To begin your follow-up to wellness please purchase the follow-up form using the purchase button below:
Follow-Up Consultation Form
AU$30.00

 

Additional wellness options will be available at the time of your consultation 

Be sure to check out the on-line shop for more health & wellness products

NOTE: 

Please ensure the clients name is on your payment and click on the (return to sellers’ website) button when payment is complete to be guided to the intake form.

If you experience any difficulties, please either email or call us for assistance:

Email:      intakes@churchofubuntu.org  

Tel:          0478 044 367 10am-5pm Monday to Friday

Terms and conditions refund and returns policy

The Church of Ubuntu is supported by many members of the community, we are a not for profit incorporated association. Our health consultants are all highly experienced and each one can offer a great insight into your health and well-being. The first step to wellness is to accept full responsibility for one’s own health, we offer a much-needed alternative to allopathic medicines, we aim to cure occasionally, relieve often, and comfort always. The Ubuntu Team.