Please download and carefully review the attached Intake Form.
Be sure to sign in all designated areas, and once completed, please email the completed form to drmels@mail.com with the following Subject: Completed Intake Form Regulated Mother [First and Last Name].
Content of the message should include:
Date and Time of appointment:
Any Additional Details or Questions:
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).
You only have to complete the Intake and Consent Form once for all services in this area unless otherwise instructed to complete it again.
CLICK HERE: Regulated Mother Strategy Session Intake Form Dr. Mels the Future Doctor
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.