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Appointment Terms
Notice as to Nature of Services: I understand that the care I receive at HH Wellness may be non-traditional or unconventional. Such services are commonly referred to as complementary or alternative or holistic medicine, or innovative services. Many of these services may not be recognized as standard medical practices, and may be considered investigational or experimental. Notice That Services are Not Primary Care: I understand that Alyse Shockey is not acting as my primary care physician rather she may address issues affecting my general health, the practice is focused on a complementary, holistic approach to care and it is in my best interest to also have a primary care physician to ensure that I am fully appraised of all available conventional means to address any medical conditions I may have. This is also important because this practice is exclusively office-based and not affiliated with a hospital. If I become ill and require hospitalization, it is vital that I have a primary care physician with hospital admitting privileges familiar with my health problems and history. I understand that in addition to a primary care physician, it may be in my best interest to have appropriate specialists, such as a cardiologist if I have a cardiac problems or a pediatrician if I am seeking treatment for my children I understand that a Certified Holistic Healthcare Practitioner, Cranial Sacral Therapist or Orofacial Myologist are not a medical doctor. If I believe that I have a condition that requires medical care, I will consult a medical doctor. I understand that during the course of treatment my practitioner may see evidence of a condition that should be diagnosed and treated by a medical physician and that necessary referrals will be made. Such a condition based upon my informed choice may be treated by a medical physician, by the physician in collaboration with the naturopath, or by my naturopath and/or other alternative care providers. I understand Alyse Shockey is a Holistic Health Care Practitioner. She is not a licensed medical doctor. Holistic methods evaluate in a non-traditional manner using Oriental and European traditional evaluations. This form of evaluation is not considered a medical diagnosis. For a medical diagnosis I should see my physician. General Potential Risks I understand that I may experience aches, pains, or symptoms other then originally experienced as my body shifts its “balance” in response to the interventions. I understand that this is generally a positive sign and shows that the body is making positive movement. I also understand that I may experience a “healing crisis” which is a short period in which symptoms increase or a period of flu-like illness with mild fever, chills, dizziness, loss of appetite, or similar symptoms may occur. I understand that the flu-like experience could signal that the body is detoxifying. I have been informed that it is believed that these difficult periods occur because the body needs to make a chronic condition acute for a brief time as part of the healing. I understand that I may alternate between feeling better and feeling worse as the body recovers, and I may discover that symptoms shift from one organ system to the other as part of the healing process. Because restoring health often involves peeling back layers of dysfunction, the symptoms that brought me to treatment may be the most deeply ingrained and the last to be addressed. I have further been informed that negative reactions to homeopathy are very rare because of the extremely diluted doses given. Informed Consent to Receive Treatment I hereby authorize naturopathic and homeopathic evaluation and treatment and certify that I understand the nature of the evaluation and treatment, including the risks of possible complications and choices I may have about the other approaches. I have been adequately informed and questions I have asked have been satisfactorily answered. I represent that I am seeking evaluation and treatment in order to further my own health and for no other reason. I do not represent a third party. I am aware that I may withdraw this consent and stop treatment at any time.
If I need to change my appointment I will give a 24 hour notice so that I will avoid the rescheduling fees which are equivalent to the price of the scheduled session. I understand that if I am late for my appointment that my appointed time will not be extended to accommodate for my tardiness.
I understand that supplements may not be returned and the client pays for all shipping expenses and will be charged separately when such charges are known.
All services are non-refundable. If you choose to withdraw from services, packages, subscriptions before its expiration time you forfeit your investment/purchase.