Virtual Consultation

Are you looking for natural medication and treatments for your health ailments?
Do you need advice on lifestyle habits to reduce pain and stress?
Are you having trouble sleeping?

Then you have come to the right place! Book your 30-minute virtual consultation with Mandi today!

Mandi Holtshausen Dip. Herbal (BC)
Practising Herbalist, Medicine Maker
Founder and owner of Living Strong

CODE OF PRACTICE

I promise:

To maintain confidentiality about the client’s condition or information collected from the patient
To avoid exaggerated claims of cure
To advise the client to seek medical advice when symptoms require orthodox medicine
To never offer the client herbals that are dangerous to their health
To never offer the clients herbs that are illegal
To be true to the aim of the profession by relieving suffering

Appointment Booking Form

"*" indicates required fields

The appointment is for*

Myself or family member (R250)

My pet (R150)

Should you be making this appointment for a family member eg. Child, please fill in the form with their medical history on their behalf.

The consultation is for

Name*

First Last

Date of Birth*

DD slash MM slash YYYY

Age*

Height*

Weight*

Occupation

What health concerns would you like to address?*

For each health concern, please answer: How long have you had these concerns and do you have a medical diagnosis?

What other health related issues, surgeries, major or recurring illnesses or conditions do you have / have you had in the past?*

Format: Year / Condition

Are you taking any of the following medications?

Select applicable to you

Oral Contraceptives

Antidepressants

Anticoagulants / Warfarin

Cholesterol Meds

Antianxiety

Aspirin

Antiseizure

Oral Diabetes Meds

Blood Pressure Meds

Psychotropic Meds

Select conditions that apply:

Pregnant?*

Yes

Sensitivity to alcohol?*

Yes

What is your alcohol intake?

What is your caffeine intake?

Smoker?*

Yes

Skin problems?*

Yes

Respiratory?*

Yes

Cardiovascular?*

Yes

Musculoskeletal?*

Yes

Reproductive?*

Yes

Urinary?*

Yes

Digestive?*

Yes

Memory?*

Yes

Tick known conditions that apply to you and/or a family member

Diabetes

Myself

A family member

Stroke

Myself

A family member

Addiction

Myself

A family member

Arthritis

Myself

A family member

High Blood Pressure

Myself

A family member

Cancer

Myself

A family member

Type of cancer*

Headaches / Migraines

Myself

A family member

Thyroid

Myself

A family member

Thyroid is*

Hyper (over-active)

Hypo (under-active)

Unsure

Nervous Illness

Myself

A family member

Depression

Myself

A family member

Bleeding tendency

Myself

A family member

Digestive Issues, IBS

Myself

A family member

Liver

Myself

A family member

Kidney Disease / Stones

Myself

A family member

Ulcer

Myself

A family member

Allergy / Asthma

Myself

A family member

Gall Stones

Myself

A family member

Heart Disease

Myself

A family member

Obesity

Myself

A family member

Other

What is your diet like?*

Are you sleeping well?*

Yes

What is your stress level on a scale of 1 - 10?*

1 being no stress and 10 being highly stressed.

Anything else you would like us to know?

Details about your pet

Pet's Name*

Pet Type*

Pet's age*

Pet ailments you would like to address (max 4)

Is your pet on any medication, short or long term?*

Yes

Have you spoken to your Vet about these ailments?*

Yes

What course of action was decided upon by the Vet?*

What supplements are you giving your pet?*

Anything else you would like us to know?

Disclaimer*

This service and these products are available to South Africans only and are not intended to diagnose or prescribe for medical, chiropractic or psychological conditions nor to claim to prevent, treat, mitigate or cure such conditions, nor to recommend specific information, products or services as treatment of disease or to provide diagnosis, care, treatment or rehabilitation of individuals, or apply medical, mental health or human development principles, to provide diagnosing, treating, operating or prescribing for any human disease, pain, injury, deformity or physical condition.

Potential benefits are recommended based upon traditional uses and may not be generally recognised as substantiated by competent and reliable scientific evidence. Any use of the techniques, education, information, herbal salves and other products or services is based upon customer informed consent and private license. Testimonials represent a cross section of the range of results that appear to be typical with the information, products or services. Results may vary depending upon use and commitment.

We look forward to working together with you to achieve a greater state of holistic health!

I have read and accept this disclaimer

Billing Details

Please details of the person to whom we should invoice.

Name*

First Last

Cell Phone No*

Email Address*

Address*

Street Address Address Line 2 City Province Postal Code Country

Confirmation*

I confirm that the information submitted is correct and I am authorised to book this appointment.

Appointment duration: up to 30 minutes.

The appointment will be conducted either by a telephone call, WhatsApp call or similar within South Africa.

We will contact you with available time slots.

Payment confirms your booking.

Cancellations or re-scheduling will be accepted 24 hours before scheduled time slots. Failing this, consultation fee may be forfeited.

A refund will be given if cancellation is sent 24 hours before scheduled time slot. Refund requests must be send to info@livingstrong.co.za. Refunds are processed within 10 working days.

I accept these terms of service

Appointment duration: up to 30 minutes.

The appointment will be conducted by WhatsApp call or similar.

We will contact you with available time slots.

Payment confirms your booking.

Cancellations or re-scheduling will be accepted 24 hours before scheduled time slots. Failing this, consultation fee may be forfeited.

A refund will be given if cancellation is sent 24 hours before scheduled time slot. Refund requests must be send to info@livingstrong.co.za. Refunds are processed within 10 working days.

I accept these terms of service

Phone

This field is for validation purposes and should be left unchanged.

Appointment Booking Form

The consultation is for

Select conditions that apply:

Tick known conditions that apply to you and/or a family member

Details about your pet

Billing Details

Health and Wellness Tips

Health and Wellness Tips