Thank you for choosing Victoria McAvoy ND, CNHP for your holsitic wellness needs!

 

CAUTION: Please keep in mind that if you exit this page, your selections will not be saved and you will have to begin again from the beginning.

 

Please note: I have recently updated my services and pricing, which may not yet be reflected on my website and may differ from previous offerings.

This form will help me understand your current concerns, health history, and goals so I can provide you with the most effective, personalized support based on your body, mind, and spirit.

 

Initital Naturopathic Consultations: $75

Follow-Up Consultations (within 6 months): $50

Every 6 months will require another initial consultation to make a complete reassesment. 

 

Once your form and payment are submitted, we will begin your Discovery Week. During this time, I will review your information, ask any necessary follow-up questions, and develop your customized wellness recommendations.

Following this, you will receive Two Weeks of Support as you begin implementing your recommendations. During this period, I will provide guidance, answer questions, and make any adjustments as needed to ensure you feel supported throughout the process.

If you choose to continue, Follow-Up Consultations will include a new Discovery Week and an additional Two Weeks of Support, with updated recommendations based on your progress and evolving goals.

I typically respond to questions within 24–72 hours. My goal is to ensure you feel fully supported throughout the process, so if my response time impacts your ability to implement your recommendations, I may offer up to an additional 5 days of support where appropriate.

Many clients find they benefit from 2 – 4 consultations (this translates to about 6 - 12 weeks of support) minimum. However, follow-ups are always optional and entirely based on your individual needs, preferences, and timing.

 

 

At this time, I am only accepting payments via PayPal.

Thank you for your understanding.

 

 

 

Data Privacy & GDPR Consent
I understand that the personal and health information I provide in this form will be used only for the purpose of my consultation and will be stored securely. My information may be processed and retained for consultation and clinical support purposes.

I acknowledge that Victoria McAvoy will not share my personal data with third parties, except as required by law. I understand that I have the right to:

Access my data
Correct any errors
Request deletion of my data
Withdraw my consent at any time

I consent to the collection, storage, and processing of my personal data for the purpose of receiving naturopathic consultation services. This consent applies to international data protection regulations, including GDPR for EU/EEA clients.

Basic Information 

Client Intake Photos

(if you are unable to upload them here, please send your photos to: victoria.a.mcavoy@gmail.com, this is recommended if you are using a mobile phone... if you do not have a camera or if you are unable to take one or more of the pictures, you may skip any part of this section that is too difficult.)

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For infants and toddlers, I only need

a full face picture

unless there are unsual or noticable issues with the irises, tongue, or nails. Thank you!

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Health Information 

Nutritional Data

Timing

Movement

Sleep

Elimination

Children Only

For Infants and Toddlers

For children 8+ years old:

Females Only

Supplements/Medication

Medical History

Naturopathic History

Emotional Wellness Assessment

Victoria McAvoy – Naturopathic Consultation 
Client Acknowledgment & Disclaimer

I understand that I am participating in an online consultation with Victoria McAvoy, ND, CNHP, for the purpose of receiving information related to nutrition, lifestyle practices, and traditional natural health approaches. These consultations may include discussion of food, dietary supplements, herbs, and other holistic wellness practices.

I acknowledge that the information provided is for educational purposes only and is not a substitute for medical advice, diagnosis, or treatment from a licensed healthcare professional in my jurisdiction. I understand that Victoria McAvoy is not a medical doctor, and no medical diagnosis, treatment, or prescription will be provided during this or any subsequent consultation.

I confirm that I am voluntarily seeking this consultation of my own free will. I understand that all recommendations are intended to support general wellness and the body’s natural processes, and are not intended to diagnose, treat, cure, or prevent any disease.

I understand that supporting my health may take several weeks or months, and that progress may not be linear. I may experience improvements and temporary setbacks as my body works to correct existing imbalances.

I understand that I am responsible for advocating for myself, including communicating what is working, what is not working, and any changes in symptoms in a timely manner. I also understand that Victoria expects me to ask questions and voice concerns as often as needed throughout the consultation process to feel fully supported.

I understand that the consultation process begins with a Discovery Week, during which my information will be reviewed, follow-up questions may be asked, and personalized wellness recommendations will be developed. Following this, I will receive two weeks of support to implement the recommendations. I may contact Victoria at any time during this period with questions or concerns, and she typically responds within 24–72 hours. If response times impact my ability to implement recommendations, Victoria may, at her discretion, extend support by up to 5 additional days.

I understand that results are not guaranteed, and that I am fully responsible for my own health decisions, including the use or non-use of any information or recommendations provided.

No Refunds / Limited Remedy
I understand that all payments for consultations and services are non-refundable. In the event of an error, delay, or minor issue on Victoria’s part that affects my ability to receive services as described, Victoria may, at her discretion, offer additional support, extensions, or guidance to ensure I can implement my recommendations. I acknowledge that offering additional support or extensions replaces any right to a refund, except where prohibited by applicable law. This does not waive liability for gross negligence, willful misconduct, or harm prohibited under applicable law.

By participating in this online consultation, I agree that I am not engaging these services for the purpose of investigation, entrapment, or legal action of any kind, and that I am responsible for complying with any laws or regulations in my own country or jurisdiction.

I acknowledge that I have read, understand, and agree to this disclaimer and voluntarily consent to participate in the consultation.

This agreement is governed by the laws of the United States, and if any part of this agreement is found to be unenforceable, the remaining provisions will remain in effect.

Please sign below to continue if you agree to the terms of this consultation agreement and disclaimer:

 

 

Payment & Discounts

Payment Processing

 

You can submit your payment through:

PayPal to Chrismcavoy@inbox.com

(Christopher McAvoy)

 
By submitting payment, I confirm I have read, understand, and agree to all terms above.

 

Once your payment and intake form have been submitted, we will begin your Discovery Week, during which I will review your information, ask any follow-up questions, and develop your personalized wellness recommendations. This process typically takes 3–5 business days, unless otherwise communicated via email.

Thank you again for choosing my services. I look forward to supporting your journey toward improved health and wellness.