Please Note: You will first need to save this document to your computer before filling in your information. The information will not save if you open it directly from our website and begin filling in.
You may also print and fax the completed intake form to 541.488.6949 or mail to 180 Clear Creek Drive #101 Ashland, OR 97520. Once we receive your completed intake forms, we will contact you to schedule an appointment with one of our practitioners.
Your Initial Consultation
Your Initial Consultation requires a $100 non-refundable deposit due at time of scheduling your appointment. Your deposit secures the appointment with your practitioner, and will be applied toward your consultation. Please call our office at 541.488.3133 for a fee schedule.
Prior to the initial consult, your practitioner will review the health records and lab reports that you provide us. The initial consultation involves an in-depth dialogue with your practitioner about your health history and current status, nutritional needs, lifestyle and more. This typically takes anywhere from 75 – 90 minutes. The complexity of your case will predetermine how much time is required for your initial consult.
Directly after the initial consultation, your practitioner will spend time developing a customized treatment protocol. Protocol development may also be discussed during your consultation.
Your Follow-Up Consultation
Your Follow-up Consultations will be scheduled by your practitioner according to your continued progress while on your protocol. A follow-up consult can last anywhere from 30 – 60 minutes depending on your health status. Our fee for these consultations are billed at $250 per hour and/or prorated in 10-minute increments.
Any additional communication that you initiate with your practitioner between regularly scheduled consultations are considered billable time, including emails. Extra research that you request by your practitioner, or protocol re-writes, may also be billed.
Support staff is available to answer general questions about your protocol, help with ordering from our dispensary, and liaising with your practitioner on your behalf, at no additional charge.
Canceling Your Consultation
Canceling your consultation with less than 24 hours notice will incur a charge at half of the anticipated cost of your initial or follow-up appointment.
Mederi Centre for Natural Healing (MCNH) offers an extensive Dispensary of herbal and nutritional formulations carefully chosen for their quality, purity, potency and clinical effectiveness. Our Dispensary services are available for MCNH clients, as well as other practitioners and their clients. We have over 200 high-quality, single herb extracts and bulk herbs with which we custom blend formulations for clients.
To Place Your Protocol Order with our dispensary, you may complete the dispensary order form and fax it to 541.488.6949 or call our dispensary directly at 541.488.7598.