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Acute Care Request

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Homeopathy is a 250 year old medical system that is shown to be clinically effective.

All homeopathic remedies are safe, non-toxic and are manufactured under strict guidelines.

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Homeopathic and nutritional products have not been evaluated by the FDA and are not intended to diagnose, treat, cure or prevent any disease.

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Homeopathy for Women

  Acute Care Services - USA Only.

Note: No NEW acute care is provided on any Friday, Saturday or Sunday.

An acute issue is something that is a sudden onset and lasts LESS than 30 days.
Conditions lasting 30 days are considered chronic care -  you must request chronic care instead.

Homeopathy is NOT Urgent Care!
For urgent or life-threatening issues, call your medical practitioner or 911.

READ THIS BEFORE SUBMITTING THE FORM BELOW.

We DO NOT accept new acute requests if the Client has already started on any prescribed acute antibiotics and/or are currently hospitalized.
Medical insurance does not cover our homeopathic services.

 New Acute Care Requests are accepted Monday - Thursday
from 9 am - 5 pm (PST).

We do not reply to any new requests submitted after business hours,
on Fridays, weekends or legal holidays until the next business day.

Returning Acute Care Clients must have access to a 200C remedy kit for care.

Acute Care Fees - Health Conditions must be 30 days or LESS for acute care.

  • Acute Care: $195 per person, per acute for 7 days of consecutive care is paid in advance here https://www.homeopathicremediesonline.com/product/acute-care-consultation-7-days/

  • Care is available for women, men and children by email for short term, non-life threatening illnesses like: fevers, chills, colds, flu, coughs, vomiting, diarrhea, earaches, teething, back pain, sports injuries, etc.

  • Acute care includes the case analysis, acute remedy prescription(s) and any required remedy or potency changes during the acute for up to 7 consecutive days.

All Acute Care 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.

  • 90% of acutes can be resolved by 80% in 7 days or less, depending on the issues, with full compliance by the client.

Homeopathic Remedies Are Not Included in Acute Care Fees

  • 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 advised by the homeopath.

  • You may order a remedy kit here: 200C Remedy Acute Kit.

 

Acute Inquiry Form - USA Clients Only
All fields are required to submit this Form.
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ACUTE INQUIRY FORM - USA ONLY

Date

First and Last Name

First and last name of person submitting form

Email

Check for accuracy!

Email of person submitting this form.

Name of Person for Care
Age of Person for Care
Street Address
City
State
Zip Code
Country
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.
MAIN ISSUE
Pick the ONE for which you are seeking care

Select only one (1) from below.

Please describe this acute in detail below, with numbers as follows - answer ALL questions asked:

Limit Your Answers To the Space Provided, be specific. Anything not fitting in the space will be cut off in the form.

Copy the text for the numbered questions below and answer all of the after each, in this order.  If something does not apply write "N/A" after it:

  1. Describe acute in detail.
  2. When did this acute start?
  3. What happened emotionally or environmentally up to 2 weeks before this acute began? (Trauma, travel, weather change, insect bite, toxic exposure, loss of sleep, injury etc.)
  4. List 4 main symptoms for this acute ranked with the most important one first.
  5. What makes the main acute symptom(s) feel BETTER. (no movement, cold, heat, motion, etc.)
  6. What makes the main acute symptom(s) feel WORSE. (exertion, standing, lying still, eating, talking, etc.)
  7. Describe any unusual symptoms.
  8. List any homeopathy and or nutritional supplements used NOW so far for this acute.
  9. Provide anything else important for us to know.

Give us the 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.
How did you find out about us?

Please choose only one.

Your information is always kept private and confidential.

By submitting this form you give us permission to contact you by phone, Skype and/or email. 
We will contact you as as soon as possible.

A confirmation screen will appear after your successful submission.
You will immediately receive a detailed confirmation email sent to the email address used in this form.

If you do not receive this email, you did not successfully submit this form. Review and try again.

We reply to all inquires promptly for acute care.
If you do not hear back in 2 hours during our business hours, recheck your SPAM folder.

Please submit this form only once.

Thank you!

 

This Acute Inquiry Form is copyrighted 2008 - 2020 by Alternative Health Experts, LLC. Homeopathy For Women.
All rights reserved.  No part of this form may be copied, reproduced digitally or in print without our written permission.






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