Free tool
Aromatherapy intake form
Work through background, intended use, scent preferences and safety notes, and the tool assembles a summary you can copy or print.
Client details
Basic details
Intended use
Scent preferences
Safety background
Allergies, medication and notes
Summary
The form is processed in this page only and uploads nothing. Copy or print the summary before you leave.
Keeping intake forms long term needs an account
In practitioner mode, the intake form, blends and service reports run as one flow.
The summary is assembled from what you entered and formatted with the help of SI (artificial intelligence AI). It is for reference only and is not professional medical advice.
The summary is a background record and does not replace your own professional assessment.
This tool is not a medical device and nothing on it is professional medical advice. Anything requiring a medical judgement belongs with a registered healthcare professional.
What this form collects
- Basic details and contact information
- Intended use and the everyday situation it is for
- Liked and disliked scents
- Skin type and sensitivity
- Safety background: pregnancy, asthma, epilepsy, sensitive skin, pets, young children
- Known allergies, current medications and free notes
How to use it
- Fill in the basic details.
- Tick the intended uses and scent preferences.
- Work through the safety background.
- Press generate to assemble the summary.
- Copy or print it, to take into the consultation or file it.
The data stays on your device
The form is processed entirely in your browser and uploads nothing. Once the summary is generated you can copy it into your own record system, or print it.
An intake form created inside the Aromemor app is stored under the client record, inside that practice.
This form is for keeping a record. Its summary is general aromatherapy record-keeping material, not professional medical advice, and it does not replace your own professional assessment.
File the form against a client
In Aromemor's practitioner mode, every field of the intake form becomes part of the client record, and feeds straight into the safety check and the service report that follow.
Frequently asked questions
Is what I type saved?
No. The form only exists in the page you have open; reloading clears it. Copy or print the summary before you leave.
Can I hand this to a client to fill in?
Yes. The fields match the consultation flow in the app, so it works well as preparation before a face-to-face session.
Can the summary be used for diagnosis?
No. The summary organises background information. It is not professional medical advice and cannot be used for a diagnosis or a treatment decision.
Keeping intake forms long term needs an account
In practitioner mode, the intake form, blends and service reports run as one flow.