Consultation Service


With the growing number of readers requesting personal information about complementary and alternative medicine, we have decided to add a consultation service that will be answered by degreed professionals in the field of complementary and alternative health care. Please answer all of the questions in the form below and submit it to us. We will contact you within 48 hours, at which time you can choose to become an internet client for a one time fee of $50.00, payable through PayPal.

Once you are an internet client, any further consultations will be billed and prepaid at the rate of $20 per half hour.

Thank you for your interest in this service. It is being provided as a necessary addition to our site and as a service to our readers who require factual information about products and services available in the world of alternative medicine. This service will save you money and possible side effects associated with the use of herbs, TCM, ayuvedic, homeopathic and aromatherapy products and their possible interaction with prescription drugs that you may be taking.

Personal Health Information
Please note that all fields followed by an asterisk must be filled in.
First Name*
Last Name*
E-mail Address*
Street Address*
City*
State/Prov*
Zip/Postal Code*
Country*
Home Phone*
What are your main health concerns?*
Are you presently taking any prescription drugs for a diagnosed condition?*
If yes, please tell which drugs you are taking and the dosages. If no, leave blank.
If you do take prescription drugs, do you feel that these drugs are working? If yes, please explain. If no, leave blank.
Are you experiencing any side effects from any of these drugs? If yes, please describe the side effects. If no, leave blank.
What vitamins or supplements do you presently take?*
Do you feel that they are helping you?
What types of alternative medicine have you tried before?
What were the results?
How many hours of sleep do you get each night?*
Do you feel rested and alert when you awake in the morning?*
Do you smoke or chew tobacco?*
If yes, how much? If no, leave blank
Do you drink alcohol?*
If yes, how much? If no, leave blank.
Do you use any type of recreational drug?*
If yes, what drug and how much? If no, leave blank.
Please tell us about any other issues that you feel are necessary for us to know about.*

Please enter the word that you see below.

  


Once you have submitted the form above and have been accepted as a client, please use this link to pay for this service.


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All information presented on Health Alternatives Online is for educational purposes only. The FDA has not evaluated any of the statements made on this website, therefore, the information presented is not intended to diagnose, treat, cure or prevent any disease.
Only your personal health care professional can assess your health concerns and should be consulted before beginning any alternative method of treatment.


All rights reserved, Health Alternatives Online, 2013

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