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Health Assessment Forms

For all new and prospective Texas clients 

 Texas Client Health Assessment Form

Formulario de Evaluacion de Salud del cliente en Espanol

This comprehensive health 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 comprehensive diagnosis.  

Existing Client Form - For followup 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


 Clinic Details

Days & Times

The clinic 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 they share the same health challenges and/or wish to implement lifestyle changes as a family instead of restricting healthy changes to a single member of the family. 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 for emergency situations on a case-by-case basis.

Products

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, $15 for a 2 oz jar; $27 for a 4 oz jar; and $38 for a 6 oz glass jar of powdered herbs; $17 or $22 for a 2.5 oz or 3.0 oz bag of loose herbal tea blends; and $17 for 4 oz of herbal oils. Prices are sometimes adjusted based on the cost of the ingredients not the weight.  (Herbal products may be shipped in plastic bags instead of glass jars.)

Insurance

We do not bill insurance directly, but we will prepare a detailed bill which you can submit to your insurance company for reimbursement, if your insurance covers naturopathic or nutritional therapy 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 (from the links above) are available securely online and managed by SeamlessDocs.com, New York, NY.  (SeamlessDocs utilizes bank grade security and proprietary encryption techniques to ensure the highest level of security for your documents and data.)


       

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

Fees and Health Assessment Forms

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

Notice:  Mr. Southwick & his associates do not offer services or products that diagnose, treat or prevent Covid-19
Liability Statement
The statements found within these pages have not been evaluated by the Food and Drug Administration. If a product or treatment is recommended in these pages, it is not intended to diagnose, treat, cure, or prevent any disease. The information contained herein is meant to be used to educate the reader and is in no way intended to provide individual medical advice. Medical advice must only be obtained from a Medical Doctor.  Complete Disclaimer.  Privacy & Covid19 policy.