Consultation Agreement

Wellness with Nature

Nature of Work Performed by Practitioner:

I understand that my practitioner evaluates my entire condition based on a holistic, homeopathic approach, and seeks to assist me to stimulate my body's own healing mechanisms with the use of substances prepared according to the guidelines of the Homeopathic Pharmacopoeia of the U.S, as regulated by the FDA. I understand that my practitioner may also discuss with me the use of other integrative therapeutics to improve my health and that these are within her scope of practice to the extent that she incorporates them. I agree that I am interested in enhancing my own abilities to establish health in mind and body.

Training and Credentials of Practitioner:

I have reviewed the training and credentials of the practitioners listed below. I understand that my practitioner is not a medical doctor in the US, has not presented herself as such, and does not seek to diagnose, treat, or prescribe for disease, disorder, or other pathological conditions, and that she provides health consultation services under the national certification from Council of Homeopathic Certification, US.

Reshma Joshi, CCH, BHMS (India)

Reshma Joshi attended BVDUHMC, Pune, MH, INDIA from where she received the degree - Bachelors of Homeopathic Medicine and Surgery (BHMS). She is a licensed Homeopathic Physician in India and she is nationally certified by the Council of Homeopathic Certification Board in the US. She has an Associates in Biotechnology, SCC, Shoreline, WA. Project Management Certification from the University of WA and University of San Diego, US.

Cost and Type of consult:

Meet and Greet - Free
Acute Consult - $75
Chronic Consult - $150
Follow-up after Chronic Consult - $90

This cost does not include all homeopathic remedies, she will help you find Homeopathic remedies online or near your area. If you insist that she send a remedy or remedies, that can be arranged but it will be at an additional price of $20. Sometimes given the condition, there might be different remedies prescribed and/ or additional homeopathic tonics or Bach flower remedies prescribed, that will be the responsibility of the client and it will be discussed with the client beforehand.

Professional Conduct and Consultation:

Practitioner agrees to honor confidentiality and assures professional conduct as defined by the Code of Ethics of the Council for Homeopathic Certification; Client grants permission for my practitioner to discuss details of my health in conferral with colleagues and other practitioners with whom client consults without additional confidentiality waiver. This agreement becomes part of the client's case records. The client agrees to consult a licensed physician for any medical concern that now exists or arises at any time during the term of this agreement and to inform my practitioner of my physician's assessment in so far as it applies to my work with her.

Client Signature and Date: ___________________________________________________________

Practitioner Signature and Date: ______________________________________________________

General Policies Regarding Fees, Payment, and Scheduling:

Payment:

The client is responsible for the payment of all fees at the time of service. Payment may be made with Zelle, Paypal. A check payment is acceptable. A photo of the check can be sent after the appointment. However, if you wish to mail the check you can do so as well. If any check is returned as unpaid a $20 fee will be charged for it.

Insurance / HSA / FSA:

Clients are encouraged to investigate all options for insurance reimbursement or use of plans such as Flexible Spending Accounts (FSA) and Health Savings Accounts (HSA), which allow reimbursement of payment with pre-tax funds.

Cancellations:

If it is necessary to cancel/reschedule an appointment, notification of schedule change must be made at least 24 hours in advance; appointments that are missed or canceled late represent a time that was scheduled for the client and will be charged the full fee.