Khabir's Online Clinic Forms
For all new and prospective clients
| Form | Used for |
| Complete Health Assessment Form | This comprehensive health assessment form is for new clients so Khabir can evaluate your health condition from a traditional Ayurvedic perspective and understand your health history. |
| Existing Client Form - For follow-up appointments | Used for returning clients with new health conditions or returning after two years or more. |
Nutritional Deficiency Assessment Questionnaire | Used for both new and existing clients who intend to schedule a Nutritional Deficiency Assessment & Supplement Recommendations appointment |
| New Client Form for Product Guidelines | Used for someone with an appointment to receive guidelines and assistance with products previously purchased on HerbManTeas.com |
| Formulario de Evaluacion de Salud del cliente en Espanol | Formulario de Evaluacion Ayurvédica del cliente en Espanol |
The forms can be completed on a cell phone or computer and can be saved to continue at a later date.
If you haven't already done so, schedule an appointment with Khabir, even if it's just the free 30-minute Zoom appointment.
OR call 888-611-0878 for assistance.
To discuss your case after completing a form call or text the office at: 1-888-611-0878
You can schedule a FREE 30-minute appointment or an appointment in Ojai, CA, Bulverde, TX, or on Zoom.
Notice to Texas Residents
If you are located in the State of Texas, please visit www.SouthwickRanch.com for information specific to services provided in Texas, including disclaimers, service descriptions, and legal compliance under Texas law.
Clinic Details
Days & Times
The clinic is available for last-minute appointments; however, an appointment is still required. Appointments are generally scheduled Monday through Thursday between 10:00 a.m. and 5:00 p.m., and half-day Saturdays, with availability on weekends and evenings upon request.
Family Consultations
Many families find that they share the same health challenges and/or wish to implement lifestyle changes as a family, rather than restricting healthy modifications to a single member. I am happy to consult with families and couples together. Bring your partner or family member to support you!
Payment Policy
Payment for services is required at the time of appointment for office clients or in advance for remote clients (i.e. Skype, email, Google Hangout, phone). Detailed receipts will be provided by email for all services and products purchased.
Visa, MasterCard and Amex are accepted. PayPal is also accepted. Checks should be payable to Natural Healing Consultants.
Cancellation Policy
Appointments missed or cancelled in less than 24 hours will incur a $50 charge. Exceptions to this policy may be made for emergency situations on a case-by-case basis.
Products
Teas, herbal formulas, supplements, spices, oils and other products are not included in consulting fees or programs unless specifically stated. We use the highest quality, ethically wildcrafted, pure, and organic herbs in our herbal preparations. * Herbal product costs: Generally, $17.5 for a 2 oz jar; $27 for a 4 oz jar; and $38 for a 6 oz glass jar of powdered herbs; $17.5 or $22 for a 2.5 oz or 3.0 oz bag of loose herbal tea blends; and $17 for 4 oz of herbal oils. Prices are sometimes adjusted based on the cost of the ingredients not the weight. (Herbal products may be shipped in plastic bags instead of glass jars.)
Insurance
We do not bill insurance directly, but we will prepare a detailed bill that you can submit to your insurance company for reimbursement if your insurance covers naturopathic or nutritional therapy visits. We do not bill Medicare.
* Privacy
We do not sell, trade, or otherwise transfer to outside parties your personally identifiable information. Your personal information is contained behind secured networks and is only accessible by a limited number of persons who have special access rights and are required to keep the information confidential. The complete privacy policy.* Security
