Informed Consent.

When booking an appointment with CB Naturopathy by agreeing with the terms and conditions provided upon booking you understand and agree to the following:

The nature of Naturopathic medicine.

The primary treatments used by doctors of naturopathy are natural, non-invasive techniques which stimulate the body’s natural healing capacity. Naturopathic medicine is considered a complement to traditional allopathic medicine. We will use clinical nutrition, botanical medicine, homeopathic medicine, lifestyle counseling and physical medicine to treat you. Analysis / Examination / Treatment As a part of your case history you are consenting to the analysis, examination, and treatment recommended by our clinic. This may include a basic/complaint oriented physical examination including specific urine and/or blood laboratory tests. The material risks inherent in Naturopathic medicine. As with any healthcare procedures, there are certain complications which may arise during even the most basic of Naturopathic treatments. These complications may include, but are not limited to, aggravation of pre-existing conditions, allergic reactions to supplements or herbs, complications in certain physiological conditions such as pregnancy, lactation, those on multiple medications, young children, elderly patients, or those with specific diseases such as heart, liver, kidney, cancer, or diabetes.

The Naturopath will make every reasonable effort during the examination to screen for contraindications to care; however if you have a condition that would otherwise not come to the Naturopath’s attention it is your responsibility to inform the Naturopath of such conditions. Please advise the Naturopath if you are pregnant, suspect you are pregnant, are trying to become pregnant, or if you are breastfeeding.

I understand that my Naturopath will answer any questions that I have to the best of their ability. I understand that, as with any type of treatment, results cannot be guaranteed. I do not expect my Naturopath to be able to anticipate and explain all risks and complications. With this knowledge, I voluntarily consent to the assessment and therapeutic procedures/treatments recommended by the Naturopath. Notice: All female patients must alert the Naturopath if they know or suspect they are pregnant as some of the therapies used could present a risk to pregnancy. All individuals with bleeding disorders, pacemakers, and/or cancer must also alert the Naturopath.

The relationship with other healthcare providers.

Naturopathic Medicine may be a complement to traditional allopathic medicine. I acknowledge that I have been informed and I understand that: • Any treatment or advice provided to me as a patient is not mutually exclusive from any treatment or advice that I may now be receiving, or may in the future receive, from any other licensed health care provider.

• I am at liberty to seek or continue medical care from a physician or surgeon or other qualified health care provider.

• No employee or other practitioner under our clinic’s direction or control is suggesting or advising me to refrain from seeking or following the directions of another licensed health care provider.

•The treatment and therapies rendered or recommended by our clinic may be different than those usually offered by a medical doctor or other licensed health care provider.

I have read or have had read to me the above explanation of the naturopathic medicine and related treatment. I understand that it is my responsibility to request the Naturopath to explain therapies and procedures to my satisfaction. By signing below I state that I have weighed the risks involved in undergoing treatment and have decided that it is in my best interest to undergo the treatment recommended. Having been informed of the risks, I hereby give my consent to that treatment.