HOMEOPATHIC CONSENT AND RELEASE FORM: Homeopathy is a system of medicine which offers a holistic and individualized approach to your health. It utilizes dilute substances derived mainly from plant, animal and mineral sources. The objective of the homeopathic examination is to consider your entire “picture”. It represents your current state of health (physical, mental and emotional) and enables a Homeopath to select a homeopathic medicine that is best suited to you at this time. Nutritional assessment and counseling is often a part of the intake process. When used correctly under the supervision of a qualified practitioner, Homeopathy is considered to be a safe integrative/preventative system of health care. It is not intended to be a substitute for allopathic or traditional medicine. The therapy and information offered should not be construed by you, the client, to be a medical diagnosis of any disease or injury. You should consult with your physician for any serious medical condition. We are happy to address any questions or concerns. I acknowledge that I have the option of seeking/continuing conventional medical care from a medical doctor and that homeopathic treatment and conventional medical treatments are different but can complement each other. I confirm that there has been no suggestion made to me that I refrain from seeking or following conventional medical treatment. I recognize that input from my medical doctor is welcome, and the information will be used to augment the homeopathic case-taking process. I am free to withdraw my consent and to discontinue treatment at any time. While Fernando Gigliotti and any of his employees are Homeopaths and have had extensive training in the science and art of Homeopathy, I acknowledge that s/he is not a medical doctor. I confirm that any prescription medications I am taking under the care of a physician will not be withdrawn without his/her supervision. I fully understand what has been presented to me with regards to the nature of homeopathic medicines and their safety, and the credentials of my homeopath.
Please read all waivers as a patient as by purchasing any care plan you agree to all terms and waivers.