WCIA Client Brief Case Study Form 101

West Coast Institute of Aromatherapy Professional Holistic Aromatherapy 101 Book 3
Name
Date
MonthDayYear
Date
Who will the Blend/Product be designed for
What is the Focus for the Blend
How will it be used
Any contraindications to oils, lifestyle or aroma preferences to be aware of
Additional notes
As a professional Aromatherapist, / do not make any claim of replacing any holistic or medical therapy. / do not advise clients in any form that my treatment is superior to any other holistic or medical one, as my therapy is of a complementary nature only, rather than a curative treatment in itself.
/ also am not a doctor and, therefore, do not advise on any oil for internal ingestion.
Client Signature
Clear
Date
MonthDayYear
Date
Aromatherapist
West Coast Institute of Aromatherapy Professional Holistic Aromatherapy 101 Book 3
List all the Essential Oils Chosen for the Blend/Synergy with full details on Name - Latin Name
List all the Essential Oils Chosen for the Blend/Synergy with full details on Name Latin Name and amount used
List the carrier/s used with full details including Name and amount used.
What is the dilution of essential oils in base/product?
How will the blend/product be used by the client? Method of application, frequency, duration.
Additional Comments and Results.
How will the blend/product be used by the client? Method of application, frequency, duration. Additional Comments and Results.
Should be Empty: