Dr Shabaz service form
  • This intake form is HIPPA-compliant and your data is fully secure. Any Private information shared with us is kept strictly confidential and is never shared with anyone.

    For assistance with forms click "Chat With Us" in the bottom right of your Screen or call us at
    (281) 393-8266
    .

  • PLEASE NOTE: In instances of severe, potentially life-altering ailments such as Lyme disease, Cancer, Multiple Sclerosis, Parkinson's Disease, ALS, Alzheimer's Disease, and similar conditions, we strongly advise scheduling the extended 1 hour and 50-minute consultation. This duration ensures ample time for a thorough comprehension of the patient's medical status and needs.

  • The price includes:

    • Time spent during the consultation
    • Research and preparation specific to your case.
    • A new personalized, approximately 10-page program outlining customized therapies
    • Updated program if it is a follow-up appointment.
    • Documentation with tailored herbal and medicinal recipes
    • Ongoing support after the consultation for questions and clarifications via the Push Health platform until the next follow-up appointment.
    • Updated program if it is a follow-up appointment.
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  • Telehealth Service Waiver and Limitation of Liability

    By using our telehealth services, you acknowledge and agree to the following terms and conditions:


    1. Scope of Service: Our telehealth consultation provides medical advice and treatment based on the information you provide during your consultation. Our medical responsibilities end once your prescription is issued or a treatment plan is provided. We are not your primary care provider (PCP), nor do we assume any ongoing responsibility for your medical care.

     

    2. No Follow-Up: We are not obligated to follow up, call, or message you to check on your condition or progress after your consultation. It is your responsibility to seek further medical care if your condition does not improve or worsen or if you experience new or unexpected symptoms.

     

    3. Emergency Care: If you feel that your condition is not improving or experiencing a medical emergency, you must seek immediate care at an emergency room (ER) or urgent care facility. Telehealth is not a substitute for in-person medical services, particularly in emergencies.

     

    4. Limitations of Telehealth: Our services are limited by the nature of telemedicine. We cannot perform physical examinations, laboratory tests, or imaging, which may be necessary for diagnosing or treating certain conditions. Therefore, you agree to seek in-person medical care as needed.

     

    5. Complications and Risks: By accepting the services, you understand that we are not responsible for any possible complications, adverse reactions, or outcomes from the prescribed treatment. All medical treatments carry risks, and it is your responsibility to monitor your condition and seek further medical attention as necessary.

     

    6. No Ongoing Doctor-Patient Relationship: The telehealth consultation and the issuance of a prescription do not establish a long-term doctor-patient relationship. This consultation is a one-time service, and we do not assume any ongoing responsibility for your healthcare after the consultation.

     

    7. Patient Responsibility: It is your responsibility to follow the treatment plan provided and to seek further medical care if your condition does not improve or if you experience any side effects. Our telehealth service does not include ongoing monitoring, and we will not be responsible for managing any future health concerns.

     

    By using our telehealth service, you acknowledge that you understand and agree to these terms.

  • Book Your Appointment

    All appointment times are shown in Asia/Amman time zone. Kindly adjust according to your local time before booking
  • Note: Please ensure your payment has been processed. If payment is not received, your scheduled appointment may be canceled.

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