Online Consultation
& Disclosure Form

[This information last updated: March 13, 2021].

he purpose of this form is provide essential legal disclosures before providing assistance, and to collect information that will help us do a better job of assisting you. When you submit this form to us, you are acknowledging that you have read this form and you agree with its provisions. Firstly, you should know that we are herbalists and naturopaths and that Alpha Omega Labs has been in business since 1990, providing information about the natural products with which we work. So we are very experienced in these disciplines. That said, we are not licensed medical doctors. We do not want our consultations to be viewed as a substitute for timely medical advise. We do not perform any testing. We do not diagnose. We do not see people in person, nor do we practice medicine. We provide extensive information about our products and their use, because the absence of this service would ensure a greater likelihood that they will be used incorrectly, if not outright abused. We will discuss your case with your medical practitioner and work with them to provide an optimal outcome, if your practitioner is amenable.
That said, please complete the form below. If you make a mistake in the "Indications" section below and wish to start over, just go to the bottom of the page, hit "Clear Message," and start over. When finished, click on Send Message at the bottom and we will contact you upon receipt. If you have any questions, please write to us at: support@herbhealers.com.

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CoVid Vaccine History: -- (This information is completely confidential. We've added this section ONLY because of the correlation we've seen between the mRNA vaccine and vaccine injuries.)
Number: None to date One shot Two shots One or more booster shots
If you've received any CoVid mRNA vaccines, use the section below to indicate which ones (i.e. Pfizer, Moderna, Astra Zeneca, Sputnik, etc.) and the dates the vaccine(s) were received:



Reason for Contact -- (In this section, tell us your primary reason for contacting us. If your inquiry is about a specific condition, indicate the condition, any specifics about that condition you can provide, including how long you've had the condition. What testing did your practitioner perform and when, to arrive at his or her diagnosis. If a prognosis was provided, please indicate. If your condition is self-diagnosed, and you are self-treating, please indicate. If there are other conditions you wish to talk about, please indicate using the radio buttons in the "Medicinal Activities / Conditions" section below):



Other Medicinal Activities / Conditions (Indications):

Abscesses Acariasis Achalasia Achlorhydria Acne Adenocarcinoma Adenopathy Adrenergic Aging Agitation Albuminuria Alcoholism Allergies Alopecia Alzheimer's Amenorrhea Amoebiasis Amyloidosis Analgesic Anasarca Ancylostomiasis Anemia Angina Anorexia Anuria Anxiety Aphtha Apoplexy Aposteme Appendicitis Arrhythmia Arteriosclerosis Arthritis Arthrosis Ascites Asthenia Asthma Atony Autism Autoimmune Disease Backache Bacterial Infection (Gen.) Beriberi Biliousness Bites, General Bites, Dogs Bites, Spiders Blackhead Bladder Stones Bleeding Blepharosis / Blepharitis Blennorrhagia Blisters Boils Borrelia Botfly Bright's Disease Brittle Nails Bronchosis (Bronchitis) Bruises Bubo Burns Bursitis Cachexia Calculus Cancer Cancer, Abdomen Cancer, Bone Cancer, Brain Cancer, Breast Cancer, Cervix Cancer, Colon Cancer, Eye Cancer, Esophagus Cancer, Foot Cancer, Head Cancer, Intestine Cancer, Liver Cancer, Lung Cancer, Nose Cancer, Ovary Cancer, Pancreas Cancer, Pharynx Cancer, Prostate Cancer, Skin Cancer, Skin (melanoma) Cancer, Skin (squamous cell) Cancer, Spleen Cancer, Stomach Cancer, Throat Cancer, Tongue Cancer, Uterus Candida Carbuncle Carcinoma Cardiopathy Caries / Cavities Carpal Tunnel Syndrome Cataracts Catarrh Cerebrosis / Cerebropathy Chagas Chalazion Chancre Cheilosis Chilblains (Hypothermia) Childbirth Chills Chlorosis / Hypochromic Anemia Cholecocystosis (Cholecystitis) Cholecystalgia Cholera Chorea Chronic Fatigue Syndrome (CFS) Circulosis Cirrhosis Colds Colic Colitis Coma Congestion Conjunctivosis (Conjunctivitis) Constipation Convulsions Coughs Cramps, General Celiac Disease Cor Pulmonale Cystic Fibrosis Cystitis Cysts Dandruff Debility Delirium Dementia Depression Dermatosis Diabetes Diarrhea Digestion Diphteria Dislocation Diverticulosis Dracunculiasis (Guinea Worm Disease) Dropsy (Edema) Duodenosis Dysentery Dyskinesia

Dyslactea Dysmenorrhea Dyspepsia Dyspnea Dysuria Earache Enuresis Epstein-Barr Virus (EBV) Eczema Edema Elephantiasis Emphysema Endometriosis Enteritis Enuresis Epilepsy Epistaxis (nosebleeds) Erysipelas Escherichia Fatigue / Exhaustion Fever Fibroid / Fibroma Fibroids, Uterine Filaria Flu Fractures Freckles Frigidity Fungus Gallstones (Cholelithiasis) Gangrene Gas Gastritis Gastrointestinal Disorders Gingivitis / Gingivosis Glioma Glycosuria Gravel Gonorrhea Gout Gray Hair Halitosis Hangover Headache Head Colds Hairing Loss (deafness) Heartburn Hematuria Hemicranea Hemiplegia Hemoptysis Hemorrhage Hemorrhoids Hepatitis Hepatitis, Type: B Hepatitis, Type: C Hepatocellular Carcinoma / Hepatoma Hernia Herpes High Blood Pressure / Hypertension Hives (Urticaria) HIV Hoarseness / Dysphonia Hodgkin's Lymphoma Hookworms Hydrophobia Hydropsy Hypercholesterolemia Hyperglycemia Hypertension Hypertriglyceridemia (high triglycerides) Hypertonia Hyperuricemia Hypercholesterolemia (high cholesterol) Hypochondriasis (hypochondria) Hypoglycemia Hypothyroidism Hysteria IBS Impetigo Impotence Inappetence Incontinence Induration Infection Infectious Mononucleosis Infertility Inflammation, (Gen.) Inflammation, Liver Inflammation, Prostate Immunities Insanity / Madness Insomnia Intoxication Ischemia Ischia Itch Jaundice Keratitis / Corneosis(itis) Ketonuria Kidney Stones Klebsiella Lactose Intolerance Lameness Laryngitis Leaky Gut Leishmania Leprosy Leptospirosis Lethargy Leukemia Leukopenia Leukorrhea Liver Spots / Age Spots Listeria Low Blood Pressure Lumbago Lupus Lyme Disease Lymphoma Malaria Mange Mastitis Measles Megamastia / Gynecomastia Melanoma Memory Menopause / Climacteric Menorrhagia Metastasis Metritis Metrorrhagia Micrococcus Migraines Miscarriage Multidrug Resistance (MDR) Multiple Myeloma Multiple Sclerosis (MS) Mucososis (Mucositis) Mumps Muscular Dystrophy Myalgia Mycobacterium Mycoplasma Mycosis Myosis Marasmus Nausea Neisseria

Nematodes (Roundworms) Nephrosis Nerve Damage Nervousness Neuralgia Neuroborreliosis Neurodermatosis / Lichen simplex chronicus Neurosis Nervous System Irregularities Nyctalopia Obesity Odontosis Oliguria Onychosis Ophthalmia Orchosis/ Orchitis Ostealgia Osteoarthritis / Osteoarthrosis Osteomyelitis Osteoporosis Osteosis Otitis / Otosis Ovary Pain, Articular Pain, General Pain, Kidney Pain, Abdomen (Gastralgia) Pain, Liver (Hepatalgia) Palpitations Pancreatitis / Pancreatosis Parasites Parkinson's Disease Parotitis Pasteurella Pediculosis (Lice infestation) Pellagra Periodontosis / Periodontitis Periodontosis / Periodontitis Pertussis Peurperium Pharyngosis / Pharyngitis Phthisis Placenta Plasmodium Pleurisy Premenstrual Syndrome (PMS) Pneumonia Polio / Poliomyelitis Polyps Polyuria Pregnancy Proctorrhagia Prolapse Proctosis Prostatitis (Prostatosis) Pseudomonas Psoriasis Ptomaine Pulmonosis Pyorrhea Rabies Rashes Retinosis / Retinitis Rheumatism Rhinovirus Rickets Ringworm (Dermatophytosis / Dermatophyte) Sarcoma Salmonella Scabies / Sarcoptosis Sciatic Nerve, Pain Sclerosis Scrofula Serratia Shigella Schistosomiasis Scurvy Shingles (HERPES ZOSTER) Shock Sickle-Cell Disease Sinusosis (Sinusitis) Smallpox Smell, Loss of Snakebite Sores Sore Throat Spasms Spermatorrhea Splenomegaly Splenosis Splinters Sprains Staphylococcus Sterility (Infertility) Stings, General Stomach ache Stomatitis / Stomatosis Stones, (Gen.) Strain Strangury Streptococcus Stress Stroke Sunburn SunStroke / Heat Stroke Swelling Syphilis Syncope Tachycardia Tapeworms Teeth Tendinitis / Tendonosis Tenesmus Tetanus Thrombosis Thrombus Thrush (Oral Candidiasis) TMJ Tongue Tonsilosis (Tonsillitis) Toothache Torticollis Spasmodic Tremors / Shakes Trichomonas Trypanosomiasis Tuberculosis (Consumption) Tumors Typhoid Ulcers Urinary System Irregularities Urogenitosis/ Urethrosis(itis) Uterosis / Uteralgia UTI's Vaccinia Vaginosis Varicose Veins (phlebitis) VD Vertigo Viruses (Gen.) Vision Vitiligo Vomiting Warts West Nile Virus Whitlow Worms Wounds Yaws Yeast Yellow Fever

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