Forms and Documents....
The following PDF (Portable Document Format) forms/documents are required for the consultation and need to be completed prior to the first session. Table below shows the documents under the heading "Form/Documents Name" which are linked to the files and a brief description of what needs to be done for each form in column labeled as "Description". Please download all required documents based on the "Required for" column:
Form/Document Name |
Required For |
Description |
| Preparing for Homeopathic Consultation | Adults and Children |
This is for you to keep and read before the consultation. It points out what we are looking for when we have the interview. |
| Homeopath-Patient Services Agreement (Consent to Treatment) | Adults and Children |
This is for you to keep and read. Pages 1 and 10 of this form should be signed and turned in. You can read this on line if you choose and hard copies can be provided to you at the time of our meeting to sign. |
| Registration Form for Adults | Adults Only |
This form should be filled in on all pages completely and returned prior to the consultation. |
| Registration Form for Children | Children Only |
This form should be filled in on all pages completely and returned prior to the consultation. |
| Consent form for sharing patient information with supervisor | Adults and Children |
Please sign and bring it to the first meeting. This is required so I can share the case info with my supervisor if needed. |
| Consent form to Treat a child | Children Only |
Please sign and bring it to the first meeting. It is required to obtain permission in order to treat a minor. |
| Video taping | Adults and Children |
Please read and sign in either at the two locations or only the second part. This is required. |
NOTE: You must have Acrobat PDF reader or a similar application in order to be able to open and print these files. Please click on the Adobe logo to download Adobe Reader. Please ensure to download the correct version for your system, i.e. either Mac or PC version.