Khabir’s Online Clinic Forms

For all new and prospective clients

Forms

Comprehensive intake for new clients so Khabir can evaluate your health from a traditional Ayurvedic perspective and understand your history.

(For Texas clients, use the Texas form below.)

For returning clients with new health concerns, or those returning after two years or more.

For new or existing clients planning a Nutritional Deficiency Assessment & Supplement Recommendations appointment. Please book here: Schedule .

For clients with an appointment to receive guidance on products previously purchased on HerbManTeas.com . Please book here: Schedule .

Comprehensive intake for new clients (in Texas).

Formulario de Evaluación Ayurvédica del cliente en Español.

The forms can be completed on a cell phone or computer and can be saved to continue later.

Schedule

Payment is required before the appointment. After you book, you will receive an invoice and appointment reminders.

Schedule a Consultation

Additional Details

Days & Times

The online clinic is available for last-minute appointments; an appointment is still required. Appointments are generally scheduled Monday–Thursday between 10:00 a.m. and 5:00 p.m., and half-day Saturdays, with availability on weekends and evenings upon request.

Family Consultations

Many families share similar goals or prefer to implement changes together. A family member or partner is welcome to join your Zoom call for support. If more than one person needs individualized guidance, appointments can be scheduled back-to-back.

Payment Policy

Payment is required before your appointment. After you book, you will receive an invoice and appointment reminders.

Cancellation Policy

Appointments missed or cancelled with less than 24 hours’ notice will incur a $50 charge.

Products

Teas, herbal formulas, spices, oils, supplements, and other products are not included in consulting fees unless stated.

Herbal product costs: Generally, $17.50–$22 for loose tea blends, $27–$38 for powdered herbs, and $17 for herbal oils.

Insurance

We do not bill insurance directly; we will prepare a bill you may submit for reimbursement if your plan allows. We do not bill Medicare.

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Disclaimer: Khabir’s Health Consulting, LLC (WY), DBA Khabir’s Clinic, provides non-medical, educational services rooted in traditional natural health systems such as herbalism, nutrition, and Ayurveda. Khabir Southwick is not a licensed physician, and no diagnosis, treatment, or cure is offered or implied. All services and recommendations are strictly informational and educational in nature. Clients are responsible for their own health decisions and are encouraged to consult a licensed medical provider for any health concerns. Complete Disclaimer