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38 Welligton Street East, Suite 2

Aurora, ON L4G 1H5

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Consultation with Terms and conditions:

I am over 18 years of age and have voluntarily chosen homeopathic treatment for myself/for my child. I understand that homeopathy is considered an alternative therapy and is not a substitution for medical treatment. The information and therapy offered does not include a diagnosis. Homeopathic remedies are FDA approved and available over the counter. I acknowledge that rather than medical advice or treatment, I am seeking alternative therapy in the form of lifestyle, educational, nutritional, and homeopathic advice and/or recommendations. Under no circumstances, should any suggestions be taken as a diagnosis or direction against a licensed physical or mental care professional. I affirm that I am seeking self-help advice in natural health or educational matters only, and if I desire a diagnosis or treatment for any medical condition, I must consult a physician. I acknowledge that Gitanjali Goel and/or any affiliates are not a medical institution, medical doctor or licensed practitioner and their advice is therefore limited in scope and is not a substitute for medical supervision and advice. Gitanjali Goel is registered with the Ontario Homeopathic Association. Homeopathy views health and illness in a holistic manner and this view is different from the standard, conventional approach which usually limits its concerns to individual symptoms. In working with the whole person the homeopath regards the mental and emotional as well as physical aspects as important. A minor aggravation or worsening of some symptoms may occur as a part of the general healing process.

Confidentiality

I acknowledge that all personal information will be kept confidential and may not be revealed to anyone without my permission, except where disclosure is required by law. Disclosure may be required in the following circumstances: a reasonable suspicion of child or elder abuse; a reasonable suspicion that a client presents a danger to himself/herself or to others.

Payment

Fees are payable by cash or cheque at the end of each visit or by Papal (service charge applies) in advance of the visit. Receipts are provided. I acknowledge that missed or cancelled appointments without giving 24 hours notice will be charged 50% of the visit fee. As homeopathy is not covered by the existing government medical insurance plan, I agree to pay all fees presented in the current rate schedule.