ph: 850-830-8448
Caroline
World Homeopathy Association
1) I am seeking help from the World Homeopathy Association understanding that Homeopathy is a holistic approach to health with the goal of stimulating the spiritual vital force. ___________
2) I understand that Homeopathic remedies are specific to individuals and not to physical symptoms. ________________
3) I understand that homeopathic remedies are vibrational and do not have a chemical ineraction with the physical body. ________________
4) I understand that the correct course of action is determined by feedback provided by me every 4-6 weeks. It is my response to the remedy on dimensions deeper than the physical that help determine when changes need to be made. ____________
5) I understand that remedies are not medications and cannot be taken as such. Changes in remedy frequency and potency need to be guided by your Homeopath and made at regular intervals. ___________________
6) I understand that I am entering into this relationship with no assurances of cure of any medical symptom. Any resolution of physical complaints is a side effect of the spiritual work being done. ___________
7) I understand that Homeopathy is not a licensed specialty in the state of Colorado. __________
8) I understand that Homeopathy does not replace the need for routine medical care nor appropriate emergency/urgent medical care. ____________
Signature_________________________
Date____________________
Form completion is required for scheduling an appointment.
Not to be copied or distributed outside of World Homeopathy without the permission of Caroline Falkenburg and Vega Rozenberg. Copyright World Homeopathy 2007-2008. Common Law Copyright ESSH 2007-2008
ph: 850-830-8448
Caroline