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Ayurvedic Health Assessment Form

For all new and prospective clients 

Click here:  Complete Ayurvedic Health Assessment Form 

This comprehensive health assessment form enables Khabir to thoroughly prepare for and review your case in detail before your appointment.  This process saves time and leads to a more thorough understanding of your individual wellness needs from a traditional Ayurvedic perspective.

After completing this form, please schedule your appointment. 

Your information remains completely confidential and private.*

 
Personal Checks, Visa, MasterCard, Amex, and PayPal are also accepted.  

To discuss your case after completing a form call or text Khabir at: 1-888-611-0878


 Work days and times

 Appointments are generally scheduled Monday through Friday between 9:00 a.m. and 4:00 p.m., and half-day Saturdays, with availability on weekends and evenings upon request.

Remote Appointment

Khabir uses only Zoom.   Khabir will send the Zoom link when he is ready, not days or hours before.   Sometimes he is behind schedule, so please don't worry. If you are concerned, contact customer support by email or text at 888-611-0878 

Family Consultations

Many families find that they share the same health challenges and/or wish to implement lifestyle changes as a family, rather than restricting healthy modifications to a single member. I am happy to consult with families and couples together. Bring your partner or family member to support you!

Payment Policy

Payment for services is required at the time of appointment for office clients or in advance for remote clients on Zoom.  Detailed receipts will be emailed for all services and products purchased.

Visa, MasterCard, and Amex are accepted. PayPal is also accepted. Checks should be payable to Khabir Southwick.

Cancellation Policy

There is no charge for canceling your appointment.  However, the sooner we know, the better.

Product Recommendations 

Teas, herbal formulas, supplements, spices, oils, and other products are not included in consulting fees or programs unless specifically stated.  We use the highest quality, ethically wildcrafted, pure, and organic herbs in our herbal preparations. * Herbal product costs: Generally, $18 to $20 for a bag of cut and sifted tea; $29 to $39 for a bag of powdered herbs; and $15 for 4 oz of herbal oils. Prices are sometimes adjusted based on the cost of the ingredients, not the weight.

Insurance

We do not bill insurance directly, but we will prepare a detailed bill that you can submit to your insurance company for reimbursement if your insurance covers naturopathic or nutritional therapy visits.  We do not bill Medicare.

Privacy

We do not sell, trade, or otherwise transfer to outside parties your personally identifiable information.   Your personal information is stored within secure networks and is accessible only to a limited number of individuals who have been granted special access rights and are required to maintain confidentiality—the complete privacy policy.

* Security

All transactions are processed through a gateway provider and are not stored or processed on our servers. Forms (available via the links above) are securely managed online by Cognitoforms.com.  (Cognito Forms utilizes bank-grade security and proprietary encryption techniques to ensure the highest level of protection for your documents and data.)

Consent & Disclaimer Summary

By booking a consultation, purchasing products, or using this website, I acknowledge that Brad Southwick (Southwick Health Ranch) is not a licensed healthcare provider. Services and products are offered solely for educational and traditional wellness purposes. They are not intended to diagnose, treat, cure, or prevent any disease, nor are they a substitute for licensed medical care. I understand it is my responsibility to consult a qualified healthcare provider for any medical concerns and accept full responsibility for how I use any information or products provided.


         

Khabir Southwick is available for consultations remotely via Zoom, offering his expertise to clients worldwide.

 Fees and Health Assessment Forms

Call or text 888-611-0878 for more information.  For general inquires: email support @ KhabirsClinic .com

Liability & Educational Use Disclaimer – California Compliance

Khabir Southwick, operating as Khabir’s Clinic, is not a licensed medical doctor, psychologist, psychotherapist, or dietitian. All consultations, services, and content—whether written, spoken, or digital—are provided for educational and informational purposes only, based on traditional natural health systems such as Ayurveda and herbal medicine.

No diagnosis, treatment, or prescription is offered or implied. These services are not a substitute for licensed medical care. Under California Senate Bill 577 (SB-577) and California Business & Professions Code §§2053.5–6, Khabir Southwick lawfully offers alternative health services as an unlicensed practitioner, provided clients are informed of this status.

By using this website or participating in services, you accept full responsibility for your health decisions and agree that no liability shall be held against Khabir Southwick or Khabir’s Clinic.   Complete Disclaimer.  Privacy Policy.

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Contact Info

California Location:
723 Fernando St. Ojai

Contact Info:
Office: 888-611-0878

Email:

© 2009-2023 Khabir Southwick