Please download and carefully review the attached Consent Form.
Be sure to sign in all designated areas to indicate your agreement. Once completed, please email the completed form to drmels@mail.com with the following subject: Completed Holistic Consultation Consent Form Dr Mels for [First and Last Name].
Important: Both the Consent Form and the Intake Form must be completed and submitted at least one business day before your consultation. Failure to do so will result in your appointment being cancelled and refunded (half).
Consent Form for Care Provided by Dr. Mels (the Future Doctor) and Clinical Team
Disclaimer: I am not a licensed medical doctor, physician, or other healthcare provider, and I do not have a doctoral degree. The information and services I provide are based on traditional herbal practices and are intended for educational purposes only. I do not diagnose, treat, cure, or prevent any disease or medical condition. I do not prescribe medication or perform medical treatments. Always consult with a licensed healthcare provider before beginning any new health regimen, especially if you have a medical condition, are pregnant, or are taking prescription medications.