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 diagnose your health condition and be aware of your health history. |
| Existing Client Form - For follow-up appointments | Used for returning clients with new health conditions or returning after one year or more. |
| 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 de Salud 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 have not all ready done so, schedule an appointment with Khabir even if its only the free 30 min FREE Zoom appointment.
OR call 805-858-9222 for assistance.
To discuss your case after completing a form call or text the office at: 1-805-858-9222
You can schedule a FREE 30 minute appointment or an appointment in Ojai CA, Bulverde TX or on Zoom.
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 10:00am to 5:00pm and half day Saturday with availability on weekends and evenings upon request.
Family Consultations
Many families find they share the same health challenges and/or wish to implement lifestyle changes as a family instead of restricting healthy changes to a single member of the family. 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 which 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
