Nordic School of Shamanism

Healing at the school is face-to-face only and there are limited appointments available. It is essential that you complete this application form so your request can be fully considered.

If you are unable to come for face-to-face work here, it may be possible to request a referral to a practitioner who is known by the school. Please use the contact form if you wish to discuss a referral.

Depending on the information you give, we may approach you for more details or clarifications.

Application for Healing Work

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Email(Required)

What brings you to shamanic healing?(Required)

Please give any information you feel would be useful in this application for healing, including details of any other shamanic work you have had done.

Please give details if you are taking medications or having medical treatment.

Consent for healing work(Required)

I understand that shamanic healing is not recognised by the current western culture as treatment for illness.

I understand it is my responsibility to seek recognised medical help for illnesses of any kind and that shamanic healing is not recognised as a substitute for medical treatments.

I understand it is my responsibility to take reasonable steps to ensure my own welfare during any shamanic work.

I consent to work carried out by Simon Chamberlain of the Nordic School of Shamanism as outlined verbally or otherwise.

Signed (name and date)(Required)

Application for Shamanic Healing at the Nordic School of Shamanism

Application for Healing Work