Request 1st Consult

Subscribe To Newsletter


Client Update Report

Homeopathy For Women
"Let Miracles Find You!
"

Natural Recovery and Optimal Health with Homeopathy and Mineral Rebalancing
Serving Families via convenient Skype consultations in the USA.

ADHD *  Anxiety * Autism * Autoimmune Disease * Birth Control Detox * Celiac * Crohn's * Chronic Fatigue *  Copper Toxicity *  Fibromyalgia 
Hair Testing * Hashimoto's * Homeoprophylaxis * Hypothyroidism * IBS * Lyme Disease * PANDAS * Ulcerative Colitis * Vaccine Injury
 

 

Find Out Your
Constitutional
Type Online
Now For $29!

Follow HomeopathyWomen on Twitter
Read H4W Blog

Complete Your Natural Fertility Checklist Now Online for $45

Acute Care Autism Recovery Buy E-Book Birth Control Detox Hair Testing Homeoprophylaxis PANDAS / PANS Testimonials! Vaccine Injury
 
Buy Homeopathic Remedies Online

Watch Videos To Learn More About Homeopathy!

Member of the
National Center for Homeopathy

Homeopathy is a 200 year old medical system that is proven to be clinically effective. All homeopathic remedies are safe, non-toxic and are manufactured under strict Homeopathic Pharmacopeia guidelines.

Read Disclaimer

Resource Websites

AIT Institute for Auditory Integration Training

HTMA Experts - Hair Tests

Homeopathic Constitution

Homeopathy For Athletes

Homeopathic Remedies Online

Immunization Alternatives
With Homeoprophylaxis

Sensory Processing Disorder Resources

Homeopathy for Women

Client Update Report
This copyrighted form is for use by contracted Clients only.

Client's First & Last Name
E-mail of Person completing this report
Check email address accuracy!

GENERAL OVERVIEW OF CASE PROGRESS & QUESTIONS

THIS IS THE MOST IMPORTANT SECTION. Please include the "BIG PICTURE" view of this case.

  • This section helps me to have a better overall understanding of where you think your are in the overall process. Remember that you are "the eyes and ears of the case" and what is known about the case based on what you report in here and below. My decisions for your care plan or a possible chronic remedy change going forward are based on this paragraph and the data below.

  • Include your questions here as well.

FAMILY MEMBERS TAKING REMEDIES:
If I have prescribed a detox or chronic remedy for other family members, not the contracted client, you must also list their name, remedy/potency and dosing. Please add 1-2 sentences for each family member who is taking homeopathics at the end of this section.

MTHFR Status

CHRONIC REMEDY AND DOSING

A-1.  CHRONIC REMEDY AND POTENCY
This is also the "Saturday"  Remedy in a detox cycle.

Include both the remedy AND potency.

B. CHRONIC REMEDY DOSING METHOD
C-1.  DOSE TAKEN OF CHRONIC REMEDY

C-2.  DOSES TAKEN SO FAR OF THE CURRENT CHRONIC REMEDY


Give total doses of the current chronic (also known as the "Saturday") remedy and potency as of now.
Refer to your dosing chart.
Estimate if not sure.

D. LIST ALL OTHER SUPPORT REMEDIES,  SARCODES, ETC. TAKEN DAILY OR WEEKLY.

If not applicable write N/A.

Include homeopathic remedies: such as Causticum, Kali Phos, Lycopodium, Nat Mur, Nux Vomica, Mag Phos, Phosphorus, Pulsatilla, Sepia, Sulphur, etc.

Include sarcodes: Adrenal Gland, Cortisol, Poly Detox Organ, Thyroidinum, etc.

Include: Bach Flowers, cell salts, gemmos, etc. that are taken on a daily or weekly basis.

Include Detox Supports: Like Epsom salt bath, massage, etc.

MINERALS TAKEN AFTER HTMA (HAIR TESTING)

E. METABOLIC TYPE: Please select your metabolic type as indicated in your HTMA report.

F-1. TRACE NUTRIENTS: If you are taking any of these nutrients based on a HTMA hair test, please select on all that the client is taking now.

If this function to select more than one option does not work (we are having problems on certain browsers) then please write in what is being taken in the general comments above.

Hold down the CONTROL KEY to select more than one from this list:

F-2. For How Long Have You Been On The Trace Minerals (estimate)

OTHER SUPPLEMENTS

G. List any other nutritional supplements you are taking regularly now.

Include things like: 5-HTP, GABA, herbs, probiotics, Vitamin C, etc.

If none at this time write N/A.

VACCINE OR DRUG DETOX REMEDY AND DOSING

1.   LIST THE OPENING MIASMATIC NOSODE BEFORE STARTING THE CURRENT DETOX CYCLE
Select the one taken for the current detox protocol only. If none at this time write N/A.
1 a.  NAME OF CURRENT VACCINE, CHEMICAL OR DRUG DETOX REMEDY AND POTENCY
Include both the current remedy and the current potency.
If none at this time write N/A.
1 a.  NAME OF CURRENT VACCINE, CHEMICAL OR DRUG DETOX REMEDY AND POTENCY
Include both the current remedy and the current potency.
If none at this time write N/A.
1 b.  CURRENT TOTAL DOSES OF VACCINE, CHEMICAL or DRUG DETOX REMEDY
How many doses of this current remedy were taken in total?

You must know this exact number. Refer to your dosing chart.
If none, write N/A.

1 c.  POLY BOWEL NOSODE PLUS TOTAL DOSES


How many doses of the Poly Bowel Nosode Plus were taken in this current detox cycle?

You must know this exact number.
If none, write N/A.
1 d.  LIST ALL DETOX CYCLES  ALREADY COMPLETED. List in chronological order all the detox cycles of 12 weeks each that are already completed.
If not applicable write N/A.
1 e LIST ANY DETOXES WE HAVE DISCUSSED FOR THE FUTURE. List in chronological order the future detoxes that we have already discussed.
If not applicable write N/A.

CURRENT SYMPTOMS - IMPROVEMENT RATINGS

2 a.  Are the current remedy(ies) and detox protocol if you are doing one effective for any of the key symptoms?

 

2 b.  OVERALL IMPROVEMENT RATING
Rate overall improvement of all case symptoms as a group as a percentage from the beginning of our care starting as of today's date.

Consider the total person overall in terms for changes in all categories combined of mental, emotional and physical, as as group.

2 c. MENTAL IMPROVEMENT RATING
Rate overall improvement of mental symptoms only s a percentage from the beginning of care starting as of today's date.

Consider mental issues like: attention, awareness, behaviors, focus, language, life skills learning, memory, performance in school or work, recall, etc.

2 d. EMOTIONAL IMPROVEMENTS RATING
Rate overall improvement of spiritual or emotional as a percentage from the beginning of care starting as of today's date.

Consider emotional issues like: affection, anxiety, anger, attitude, compulsions, depression, mood swings, stimming, tantrums, OCD, overall mood, outlook of life, etc.

2 e.  PHYSICAL IMPROVEMENTS RATING
Rate overall improvement of physical symptoms as a percentage from the beginning of care starting as of today's date.

Consider physical issues like: acne, energy, exercise tolerance, eating habits, endurance, digestion, pain, sleep, stool or urine changes, skin, menstrual cycle in women, etc.

 ANY IMPROVED SYMPTOMS OR ROS SYMPTOMS

3 a. Describe any key symptom(s) that have improved overall since the last report.

Specify any clearly improved symptoms (not ROS, but new improvements) with positive changes in the mental, emotional and physical areas.

If none, write N/A.

3 b.  Describe any ROS that have appeared since the last report.

ROS is a return of old symptoms from any time prior in the client's history and in the timeline. These are considered as "good" signs.  Give the age of the client at the time that any ROS symptoms first appeared, based on the client's timeline.

If none, write N/A

ANY SYMPTOMS THAT ARE WORSE

4.  Describe any symptoms that are worse  since the last report.

Specify any clearly worse new symptoms especially those that have never appeared at any time prior.

If none, write N/A.

ACUTE REMEDIES TAKEN DURING THIS TIME PERIOD

5. Write down any ACUTE remedies taken recently.

If none, write N/A.
 

DREAMS

6. Describe any dreams or dream themes experienced recently.

If none, write N/A

SUBMIT THIS INFORMATION

All fields must contain answers to submit, including those not applicable.

Submit This Report Only Once.

A confirmation screen will immediately appear after submission.
If you do not see this screen, your report was not submitted.

Your privacy and confidentiality are always protected.

Thank you!

Client Update Form. Copyright 2015 - 2018 by for Kari J. Kindem, AIT, CFHom, CHP, CEASE Practitioner, Classical Homeopath, HTMA Practitioner.
All rights reserved. Last modified: March 8, 2018
 




Homeopathy for Babies

Homeopathy for Children
Homeopathy for Working Women
Homeopathy for Mothers


Homeopathy for PMS
Homeopathy for Menopause

Homeopathy for Menopause

Homeopathy for Elderly Women


"Let Miracles Find You! Empowering Women and Their Families in the Homeopathic Lifestyle.
Alternative Health Experts LLC. 
Copyright 2005 - 2019.  All rights reserved.  Disclaimer Site Map.