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Acute Care Inquiry
Homeopathy For Women
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Homeopathy for Women

 

Inquiry About Homeopathic Acute Care By Email

Acute Care is provided in the USA and Canada Only.

We consider conditions lasting 30 days to be chronic issues requiring Chronic Care -  request Chronic Care here instead.

READ THIS BEFORE SUBMITTING THE FORM BELOW

We DO NOT accept requests if the acute client has already started any prescription drugs,
including steroids, inhalers, antibiotics and/or is currently hospitalized  or is currently under a Doctor's directed care. 
Medical insurance does not cover our homeopathic services.

Please Only Submit Acute Care Request on Monday - Thursday 9 am - 3 pm (PST).
We will not reply to any acute requests submitted after business hours, on all Fridays, weekends or legal holidays.

Returning Acute Care Clients MUST have access to a 200C remedy kit to receive acute for care.
Access to Cell Salts is also recommended.

FEES FOR ACUTE CARE

  • You will need to pay in advance in Paypal before Acute Care is provided.

  • Basic Acute Care Fee: Is done by email and $75 per acute, per person for the first 7 day period of care.
    Includes Include acutes such as colds, sore throat, flu and injuries.   

  • Infectious Acute Care Fee: is $150 per acute, per person for the first 7 day period of care
    Specifically includes: whooping cough, meningitis, MRSA,
    pneumonia, staph infections, strep throat and other serious infectious diseases.

WHAT ACUTE FEES COVER

  • Acute Care fee covers and specifically includes: initial case analysis, prescribing the remedy(ies) needed during this acute, all email correspondence related to this acute and email follow-ups as needed on a daily basis until this acute is handled OR up to 7 days, whichever comes first.

  • Additional acute care requested past 7 days is paid in advance via Paypal at the same rate.

  • Acute care may be extended for up to ONE (1) month maximum before converting to chronic care.

ALL ACUTE COMMUNICATION IS BY EMAIL

  • You will be asked to report by email on a daily basis or as instructed during acute care.

  • This will help the Homeopath to determine a remedy's effectiveness and/or prescribe a new remedy, potency, dosing changes until the acute is over.

ACUTE CARE AND HOMEOPATHIC REMEDIES

  • Your Acute Care Fee does not include the cost of any remedy(ies) that are prescribed. 

  • It is the client's responsibility to obtain the remedies prescribed either at your local pharmacy or health food store or on-line as fast as possible.

  • You may order a remedy kit here: 200C Remedy Acute Kit for $149 plus $16.50 shipping and handling.

  • Dry remedies in a remedy packet of 4 - 8 pills ordered from the Homeopath for $10 per remedy potency, including mailing in the USA. 

  • Express mail shipping and handling is an extra fee based on the actual cost.

All fields are required to submit this Form.
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ACUTE INQUIRY FORM

First and Last Name

First and last name of person submitting form

Email

Check for accuracy! This form will only submit with a valid email address.

Email of person submitting this form.

Name of Person for Care
Age of Person for Care
Your Complete Mailing Address: Include all: Address, City, State, Zip Code.
Phone(s)

Please provide your home, work, and/or cell phones.

Best Time(s) To Call Please provide best times to call, if we need to reach you by phone.
Have you ever used homeopathy before?

If YES, please give the NAME of your most recent Homeopath.

Select one.


If NO, write N/A.
Please briefly describe this acute in 100 words or less.

Give us the basic details for this acute. 

Were you  REFERRED to us? If you are a REFERRAL, please give the name of the person who referred you.

If none, write N/A.

This Acute Inquiry Form is tested regularly and is always working.
If it is not working for you, you have missed filling out a field.

Your information is always kept private and confidential.

By submitting this Form, you give Homeopathy for Women, it's Director and/or any of its Associated Homeopaths permission to contact you by phone, skype and/or email.  You will be contacted as promptly as possible.

If you have trouble submitting or seeing the above image, refresh your browser and retry.  Be sure to copy the image above exactly.  After 2 attempts, if you still have technical difficulty submitting this Form, please email us the contents requested in this form to: tech@HomeopathyForWomen.org

Please submit only once.

Thank you!

 

This Acute Inquiry Form is copyrighted 2008 - 2016 by Homeopathy For Women. 
All rights reserved.  No part of this Form or the on-line reporting system may be copied, reproduced digitally or in print without our written permission.




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Homeopathy For Women provides Classical Homeopathic Care for Women, Children and Families.
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