Client–Practitioner Agreement Form

  • Client–Practitioner Agreement Form

    Please review, agree, and submit to confirm your understanding and consent.

  • Nature of Homeopathic Care

  • Homeopathy is a holistic system supporting the body’s innate ability to restore balance. It is not a substitute for medical diagnosis, treatment, or emergency care. The practitioner is a certified homeopath (C.Hom.), not a licensed medical doctor or therapist. Remedies are non-toxic and available over the counter. Proceeding means you understand this work is educational and holistic, not medical treatment or diagnosis.

  • Therapeutic Process

  • The process includes a comprehensive initial consultation, ongoing follow-ups, and requires your active participation, awareness, and communication. Healing is dynamic and consistency matters.

  • Communication Guidelines

  • Brief updates between follow-ups may be sent by email. Typical response time is within 48 business hours. Please keep communication concise and relevant. New concerns or complex situations require a scheduled consultation.

  • Appointments

  • Initial consultation is 60–90 minutes. Follow-up consultations are approximately 30 minutes. Acute consultations are 15–30 minutes. Please arrive on time.

  • Fees & Payment

  • Initial Consultation: $250. Follow-up Consultation: $125. Acute Consultation: $100. All fees are due at the time of service. Payments not made within 7 days may incur a $25 late fee.

  • Cancellations

  • 24 hours’ notice is required for cancellations. Cancellations with less than 24 hours’ notice or missed appointments are charged in full.

  • Urgent & After-Hours Consultations

  • Same-day or urgent consultations outside regular working hours are subject to availability and include a $75 emergency consultation surcharge in addition to the standard consultation fee.

  • Remedies

  • Remedies are highly diluted, non-toxic preparations, typically in pellet or liquid form. Instructions for use and sourcing will be provided as part of your care.

  • Confidentiality

  • All sessions and communications are strictly confidential. Information will only be shared with your written consent.

  • Responsibility & Consent

  • You are responsible for your own health decisions and should seek appropriate medical care when necessary. This service provides holistic and educational support, not medical diagnosis or treatment.
  • Date*
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  • A copy of this agreement will be emailed to you for your records.
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