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Consent and Disclosure Form - Herbal Consult - The Spring Within
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The Spring Within

Cici Cyr, community and clinical herbalist

cici@thespringwithin.com

206-384-8681

www.thespringwithin.com

Herbal Consultation Consent and Disclosure Form

(Please read before your consultation. No need to sign and return.)

What to Expect

Initial consultations run between one and two hours. I will look over your intake form before we meet. During our time together, we will go over your health history, primary health concerns, health goals, and my recommendations. Following our time together, I will develop lifestyle and herbal recommendations and protocols. I recommend scheduling a followup consultation, which can run for half an hour to an hour, depending on your needs. Additional followup visits will be scheduled from that point.

Structure and Pricing

Initial Consult: 1-2 hours, includes review of intake form and typed and emailed summary and recommendations $150-$175

Follow Up: Available at 30 minutes for a quick review $50-$75

or 60 minutes for a more thorough check in $75-100

Discounts and scholarships are available for BIPOC and low income folks. Please inquire directly.

Scope of Practice

Herbalism is not a licensed healthcare profession. I am not a doctor and cannot diagnose, prescribe, or treat disease. Nothing I share should be considered medical advice. I am able to identify patterns and energetics, educate about herbs and lifestyle, and encourage proper body functioning. I am happy to collaborate with your medical providers to develop protocols to best support your health.

I am currently in the process of accruing and documenting clinical hours to become a Registered Herbalist with the American Guild of Herbalists.