Herbal Medicine Client Disclosure and Consent Form

What a good one includes

• A clear statement of your scope of practice, explicitly clarifying that you are not a licensed medical doctor and do not diagnose, treat, or cure specific medical conditions.
• A detailed section highlighting your education, certifications, and specific tradition of herbal medicine to establish your credibility and training.
• An explanation of how herbal recommendations work, emphasizing that herbs are used to support the body's natural vitality and balance.
• A client acknowledgement clause requiring them to disclose all current prescription medications, supplements, and known allergies to prevent adverse herb-drug interactions.
• A clear statement advising clients to consult with their primary healthcare physicians before making changes to their existing medical treatments.
• Transparent business policies covering consultation fees, remedy costs, cancellation timelines, and communication boundaries outside of scheduled sessions.

Common mistakes to avoid

• Using overly clinical or medicalized language that accidentally implies you are diagnosing illnesses or offering primary medical care.
• Forgetting to include a dedicated section where clients must actively list their current prescription medications, which is crucial for preventing dangerous herb-drug interactions.
• Burying the emergency contact disclaimer, leaving clients unsure of what to do in a medical crisis instead of directing them to immediate emergency services.
• Failing to update the form as your practice grows, leaving out new modalities or updated policies that protect your current workflow.

Frequently asked questions