Copyright 2022 - Custom text here

Ayurvedic Health Assessment Form

For all new and prospective clients 

Click here:  Complete Health Assessment Form 

This comprehensive health assessment form allows Khabir to prepare for and review your case in detail before your appointment.  This process saves time and leads to a more comprehensive diagnosis.  

After you complete this form schedule your appointment 

OR call Khabir @ 805-858-9222 to discuss your case.   (If you cannot complete this form on-line, it can be mailed to you or completed in the clinic before your appointment.)

Forms need to be completed on a computer or Ipad not a cell phone. 

Note:  You will need to sign and submit the form at the end.  The form is not printable.

Your information remains completely confidential and private.*
Personal Checks, Visa, MasterCard, Amex and PayPal is also accepted.  

To discuss your case after completing a form call or text Khabir at: 1-805-858-9222

 Clinic Details

Days & Times

The clinic is available for last minute appointments, however, an appointment is still required.  Appointments are generally scheduled Monday through Thursday between 10:00am to 5:00pm and half day Saturday with availability on weekends and evenings upon request.

Family Consultations

Many families find they share the same health challenges and/or wish to implement lifestyle changes as a family instead of restricting healthy changes to a single member of the family. 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 (i.e. Skype, email, Google Hangout, phone).  Detailed receipts will be provided by email for all services and products purchased.

Visa, MasterCard and Amex are accepted. PayPal is also accepted. Checks should be payable to Natural Healing Consultants.

Cancellation Policy

Appointments missed or cancelled in less than 24 hours will incur a $50 charge. Exceptions to this policy may be made for emergency situations on a case-by-case basis.


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, $17.5 for a 2 oz jar; $27 for a 4 oz jar; and $38 for a 6 oz glass jar of powdered herbs; $17.5 or $22 for a 2.5 oz or 3.0 oz bag of loose herbal tea blends; and $17 for 4 oz of herbal oils. Prices are sometimes adjusted based on the cost of the ingredients not the weight.  (Herbal products may be shipped in plastic bags instead of glass jars.)


We do not bill insurance directly, but we will prepare a detailed bill which 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 contained behind secured networks and is only accessible by a limited number of persons who have special access rights, and are required to keep the information confidential. The complete privacy policy.

* Security

All transactions are processed through a gateway provider and are not stored or processed on our servers. Forms (from the links above) are available securely online and managed by, New York, NY.  (SeamlessDocs utilizes bank grade security and proprietary encryption techniques to ensure the highest level of security for your documents and data.)



Khabir Southwick and his associates are available for [face-to-face] consultations in Ojai California, San Antonio Texas or remotely by Zoom worldwide.

 Fees and Health Assessment Forms

Call or text 805-858-9222 for more information.  For general inquires: email info @ KhabirsClinic .com

The information on this website, related social media accounts and websites and email newsletters is for educational purposes only. We make no claims that specific nutrition, herbal therapies, diet, or other health-related decisions will cure or mediate any disease or medical condition; this includes cancer, or Sars-CoV-2 (COVID-19). It is recommended that you do your own research and consult your physician before making any decisions on what to do for your health and wellbeing. The information contained herein is in no way intended to provide individual medical advice. Medical advice must only be obtained from a Medical Doctor.  Complete Disclaimer.  Privacy & Covid19 policy.


Contact Info

California Location:
723 Fernando St. Ojai - Business license #8111 (by appointment)

Texas Location:

24974 Rock Bend LN, San Antonio, TX 78260  Map  (by appointment)

Contact Info:
Office: (805) 858-9222
Email: >

© 2009-2021 Khabir Southwick