Client Paperwork

Please read the terms and conditions and then click the button to fill out your intake paperwork 

The Role of the Integrative Health Practitioner 

 

Your Integrative Health Practitioner's primary role is as an educator and support for you as you work towards your goals for improved health and well-being. Your Integrative Health Practitioner neither diagnoses nor directly treats disease. Rather, they can make assessments of imbalances based on energetic patterns and physiologic presentation, and can educate you about how you can best support the healing of your body, mind and spirit.

 

Integrative Healthcare is based on the belief that the human body is a resilient and intelligent system with innate self-healing potential. Integrative Healthcare uses tools to assess your individual patterns physiologically, emotionally and energetically, in order to recommend the most appropriate supplemental, dietary and lifestyle changes specifically for you.

 

By signing your client intake forms,  you acknowledge and agree:

  1. I fully understand that Dawn Lusk is not a licensed medical doctor, does not diagnose or treat disease, and that I am not here for medical, diagnostic or treatment procedures.

  2. The services performed by Dawn Lusk, whether in person or by email or phone, are at all times restricted to consultation on the subject of wellness and health assessment. These services are solely intended to provide me with resources to use to promote my own health and well-being. Her services do not involve diagnosing, treatment, or prescription of remedies for the treatment of disease. 

  3. I fully understand that it is my constitutional right to decide how I wish to care for my health. Dawn Lusk has not suggested that I cease current medical care I am receiving, be it drug therapy, x-ray treatments, chemotherapy, surgery, or any other medical procedures that my medical doctor or any other health practitioner deems necessary for my health. If I choose not to follow the recommendations made by my medical doctor or other practitioners, I understand that such a decision is my responsibility and will not hold any other persons responsible for any consequences of such a decision.

  4. I am here, on this any subsequent visit, solely on my own behalf and not as an agent for federal, state or local government agencies on a mission of entrapment or investigation. 

  5. I understand that all information discussed will be kept strictly confidential.

  6. I value your time and understand that things come up. I ask for 24 hours notice when cancelling appointments. If appointments are cancelled with less than 24 hours notice, a $25 cancellation fee will apply.

  7. I fully understand that if I purchased a bioenergetic scan, that is not a diagnostic tool and I will not view any information contained on it as a diagnosis.  I assume full responsibility for my heath and acknowledge that if I have concerns I will review them with my medical practitioner.

  8. I understand that any therapies I undertake at Raven's Moon Apothecary, LLC are undertaken of my own free will. I accept that the ultimate responsibility for my health care is my own and that Raven's Moon Apothecary, LLC is here to support me in this. I understand that my practitioner reserves the right to determine which cases fall outside their scope of practice, in which event an appropriate referral will be recommended. I hereby agree to assume full responsibility for any manner of loss, injury, claim or damage whatsoever, known or unknown, incurred as a result of same and I, my heirs, executors, administrators or assigns for any loss, injury, claim or damage sustained as a result of my attendance and/or participation. I have read the above release and waiver of liability, and fully understand its contents and voluntarily agree to the terms and conditions stated.