Rose Bear Medicinals
A Holistic Apothecary
Melanie Rose Flach - Clinical Herbalist – Certified Nutritionist – 617-755-8063
West Roxbury, MA – www.rosebearmedicinals.com - mroseherbs@yahoo.com
Client/Practitioner Relationship
I am happy and pleased to help you along on your path to health and wellness in whatever way I can. Note that I am not a medical doctor and do not give medical advice. I do not claim to diagnose or cure any disease. I do believe that herbal medicine, diet, and natural supplements can help to strengthen and balance the body, but your participation in the healing process is required. It is important that we work together as a team to come up with the best protocol for you.
Cancellation Policy
There is a 24-hour cancellation policy. If I am not notified within 24 hours of our scheduled appointment, there is an automatic $25 cancellation fee.
I, ___________________________, have read this document and hereby voluntarily consent to a consultation with Melanie. I understand that Melanie Flach is not a licensed physician and therefore cannot diagnose or treat disease, or prescribe drugs.
Print Name: ____________________________________
Signature: _____________________________________ Date: ____
