top of page

Practitioner Confirmation Form

Thank you for taking the time to complete this form. We’re excited about the next chapter for the Fire + Alchemy Wellbeing Collective and would love to confirm your continued involvement with us.


Do you wish to continue working with Fire + Alchemy going forward?
Yes, I’d like to be a member of the new Collective.
No, please remove my details from your website and internal database.
bottom of page