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Patient Agreement Document for Functional Medicine Consultations 🌿

Welcome to our Functional Medicine practice, where we aim to guide you on a path to better health and well-being! We're excited to embark on this journey with you. Below is our Patient Agreement to ensure clarity and mutual understanding.

1. Understanding Functional Medicine 🤝

Functional Medicine is a patient-centered approach that focuses on identifying and addressing the root causes of health issues. We believe in treating the whole person, not just the symptoms.

Key Principles:

  • Personalized care tailored to your unique health needs.
  • Collaborative partnership between you and your practitioner.
  • Emphasis on lifestyle changes and holistic well-being.

2. Your Role in the Healing Process 🌟

Your active participation is crucial for the success of your treatment. Here's what we kindly ask of you:

  • Be Open and Honest: Share your health history, lifestyle habits, and concerns openly.
  • Engage Actively: Participate in discussions, ask questions, and provide feedback.
  • Commit to Your Plan: Follow the personalized health plan and recommendations provided.

3. Our Commitment to You 🤗

We promise to provide you with compassionate care and support throughout your health journey.

Our Commitments:

  • Expert Guidance: Offer evidence-based recommendations and treatments.
  • Ongoing Support: Be available for questions and follow-up consultations.
  • Respect and Confidentiality: Ensure your privacy is maintained at all times.

4. Appointment and Cancellation Policy 📅

To respect everyone's time, please adhere to our appointment and cancellation policy:

  • Appointment Scheduling: Book your consultation online or by phone.
  • Cancellation Notice: Provide at least 24 hours' notice for cancellations or rescheduling.
  • Late Arrivals: Arriving more than 15 minutes late may require rescheduling.

5. Fees and Payments 💳

Our consultations are priced to reflect the quality and expertise we provide.

  • Consultation Fees: Discussed upfront and payable at end of session(s)
  • Payment Methods: We accept electronic payments via Venmo, Zelle, and ACH transfers

6. Feedback and Communication 📬

We value your feedback and strive to improve our services continually. Feel free to reach out with any questions or suggestions.

Connect With Us:

  • Email: joeladame@me.com
  • Phone: (281) 507-7942

7. Acceptance of Agreement ✔️

By proceeding with our services, you acknowledge and accept the terms outlined in this agreement. Let's work together towards achieving optimal health and vitality!


Actionables for You:

  • Review your health history and be prepared to share it during your consultation.
  • Schedule your first appointment through our website or give us a call.
  • Join our online community for tips and support on your health journey.

Are you ready to take the first step towards transformative health? 🌱

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