Idaho Natural Health Care Services Disclosure 

I, the undersigned, understand that Dr. Denice Moffat at 1069 Elk Meadow Lane, Deary, ID 83823, (208) 877-1222, is providing the natural health care services defined as Alternative Healing Techniques and Integrative Healing Techniques on humans and animals, holistic veterinary services, naturopathy, and/or intuitive readings.

Dr. Moffat has been educated with a BS in Animal Science (Washington State University, Pullman WA), Masters in Biology (Eastern Washington University, Cheney WA), Doctorate of Veterinary Medicine (Washington State University, Pullman WA), Naturopathic degree through the Clayton School of Natural Healing (Alabama), Contact Reflex Analysis certified (Dr. Dick Versendahl), Teaching Karuna Reiki Master (Usui Reiki linage), Neuro Emotional Technique (Dr. Scott Walker California), Advanced Emergency Medical Technician Training (Orofino, ID), CranioSacral Therapy classes (Upledger Institute) and has taken an Ener-Chi Course with Dr. Randy Robirds (Las Vegas, NV).

I understand that Dr. Moffat is not an M.D. (medical physician), D.O. (doctor of osteopathy), and she cannot (for humans) prescribe medications, perform surgery, or deliver babies.

I agree to the terms of payment for services rendered at or before the time of the consult. I understand that my card will be charged for the price of the consult if I fail to cancel within 24 hours of the consult. I also agree to pay double the price of  the original fees to cover the cost of collections if my account is not paid and has to be turned over to collections.

Form updated 12/12/09

Page Last Edited 03/28/10