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Ayurvedic Assessment Forms

For all new and prospective Texas clients 

 Texas Client Ayurvedic Assessment Form

Formulario de Evaluacion Ayurvédica del cliente en Espanol

This comprehensive traditional Ayurvedic assessment form allows Mr Southwick to prepare for and review your case in detail before your appointment.  This process saves time and leads to a more thorough understanding of your individual wellness needs from a traditional Ayurvedic perspective.

Existing Client Form - For follow-up appointments

The form can be completed on a cell phone or computer and can be saved to continue at a later date.

Your information remains completely confidential and private.*
 
Personal Checks, Visa, MasterCard, Amex and PayPal are also accepted.  
 

To discuss your case after completing a form call or text: (210) 453-5858


Office Details

Days & Times

The office is available for last-minute appointments. However, an appointment is still required.  Appointments are generally scheduled Monday through Thursday between 10:00am to 5:00pm and half day Saturday with availability on weekends and evenings upon request.

Family Consultations

Many families find that they share the same health challenges and/or wish to implement lifestyle changes as a family, rather than restricting healthy changes to a single member. I am happy to consult with families and couples together. Bring your partner or family member to support you!

Payment Policy

Payment for services is required at the time of appointment for office clients or in advance for remote clients (i.e. Skype, email, Google Hangout, phone).  Detailed receipts will be provided by email for all services and products purchased.

Visa, MasterCard and Amex are accepted. PayPal is also accepted. Checks should be payable to Natural Healing Consultants.

Cancellation Policy

Appointments missed or cancelled in less than 24 hours will incur a $50 charge. Exceptions to this policy may be made on a case-by-case basis for emergency situations.

Product Recommendations 

Teas, herbal formulas, supplements, spices, oils, and other products are not included in consulting fees or programs unless specifically stated.  We use the highest quality, ethically wildcrafted, pure, and organic herbs in our herbal preparations. * Herbal product costs: Generally, $18 to $20 for a bag of cut and sifted tea; $29 to $39 for a bag of powdered herbs; and $15 for 4 oz of herbal oils. Prices are sometimes adjusted based on the cost of the ingredients, not the weight. 

Insurance

We do not bill insurance directly, but we will prepare a detailed bill that you can submit to your insurance company for reimbursement if your insurance covers naturopathic or nutritional counseling visits.  We do not bill Medicare.


* Privacy

We do not sell, trade, or otherwise transfer to outside parties your personally identifiable information.   Your personal information is contained behind secured networks and is only accessible by a limited number of persons who have special access rights, and are required to keep the information confidential. The complete privacy policy.

* Security

All transactions are processed through a gateway provider and are not stored or processed on our servers. Forms (available via the links above) are securely managed online by Cognitoforms.com.  (Cognito Forms utilizes bank-grade security and proprietary encryption techniques to ensure the highest level of protection for your documents and data.)

Consent & Disclaimer Summary

By booking a consultation, purchasing products, or using this website, I acknowledge that Brad Southwick (Southwick Health Ranch) is not a licensed healthcare provider. Services and products are offered solely for educational and traditional wellness purposes. They are not intended to diagnose, treat, cure, or prevent any disease, nor are they a substitute for licensed medical care. I understand it is my responsibility to consult a qualified healthcare provider for any medical concerns and accept full responsibility for how I use any information or products provided.

State license or certification:  * Brad Southwick, aka Khabir, is not a medical doctor. He is practicing as a Health Coach, Wellness Consultant, Lifestyle Coach, and Ayurveda Consultant without a state license or certification in Texas.  Texas Statute: Occupations Code — Ch. 704 Sec. 704.001 defines Complementary and Alternative Health Care Services (CAHCS) to explicitly include Ayurveda, herbalism, lifestyle and wellness coaching, and similar modalities provided by unlicensed practitioners.


   

 Mr Southwick is available for private consultations in Bulverde TX & remotely by Zoom worldwide.

Fees and Health Assessment Forms

Call or text (210) 453-5858 for more information.  For general inquiries: email

Liability & Educational Use Disclaimer
Brad Southwick (also known as Khabir), operating as Southwick Health Ranch, is not a licensed medical doctor, psychologist, psychotherapist, or dietitian. All consultations, recommendations, and content—whether written, spoken, or digital—are provided solely for educational and informational purposes, based on traditional natural health systems.

No diagnosis, treatment, or prescription is offered or implied. By using this website or engaging in services, you acknowledge that all actions regarding your health are your personal responsibility. These services are not a substitute for licensed medical care and are conducted in accordance with Texas Occupations Code Chapter 704, which permits unlicensed complementary and alternative health care.

You agree that no liability shall be held against Brad Southwick or Southwick Health Ranch. Any decisions you make regarding your health are undertaken at your own discretion and risk.
 Complete Disclaimer.  Privacy policy.