Client Bill of Rights

Complementary & Alternative Health Care Client Bill of Rights

Jessica Jascha Herbalist, DBA Jascha Botanicals® 421 McIndoe St Owatonna, MN 55060 | 507-993-2403

As of July 1, 2001, Minnesota’s Freedom of Access to Complementary Care Law (Statute Chapter 146A) requires that you receive and acknowledge that you have received by your signature on this document the following information prior to your treatment. Jessica Jascha, hereafter, “the Practitioner” has received the following education, training & credentials:

The State of Minnesota has not adopted any educational and training standards for unlicensed complementary and alternative health care practitioners. 

Experiences & Qualifications

February 2019-December 2021: Sage Mountain Herbal Center. Intensive with Rosemary Gladstar in the didactic, therapeutic, laboratory, and fieldwork of herbalism. Certificate of Completion

2021-2022: Eclectic School of Herbal Medicine Clinical Program. Classes completed include:

-An Integrative Approach to Herbal Medicine

-Applied Clinical Nutrition

-Herbal Medicine for Acute Care

-The Art and Science of Plant Medicine Making

-An Integrative Approach to Insulin Resistance and Obesity

-An Integrative Approach to the Digestive System

-An Integrative Approach to the Nervous System

-An Integrative Approach to Systemic Inflammation

-An Integrative Approach to Mental Health

-The Theory and Application of Western Energetics

-Traditional Western Assessment and Consultation Process

-The Clinical Community Herbalist Certification

-An Integrative Approach to Autoimmunity

-An Integrative Approach to Thyroid Disorders

-An Integrative Approach to the Cardiovascular System

-An Integrative Approach to the Urinary System

-An Integrative Approach to the Respiratory System

-An Integrative Approach to the Lymphatic System

-An Integrative Approach to the Immune System

-An Integrative Approach to the Structural System and Pain Management

-An Integrative Approach to the Female Reproductive System

-An Integrative Approach to the Male Reproductive System

-Functional Bloodwork Interpretation

-An Integrative Approach to Fatigue

-Creating Effective Herbal Formulas

-Applied Herbal Pharmacology

March 2022: Admitted to American Herbalist Guild as an associate member in good standing as an intermediate level clinician.

April 2022: Webinar Andrew Bentley: Herbal Support for Long Covid

May 2022: Webinar Mel Kasting: PMDD

July 2022: Webinar Amy Branum: Working with Trauma in the Clinical Practice

August 2022: Webinar Matthew Wood and Phyllis Light: Herbalism The Undying Flame (A history of herbalism in the United States).

September 2022: Online Course Paul Bergner North American Institute of Medical Herbalism: Obesity and Weight Loss; Ethics, Harms, and a Metabolic Approach

October 2022: Webinar Guido Mase`: Step Out of Brain Fog

THE STATE OF MINNESOTA HAS NOT ADOPTED ANY EDUCATIONAL AND TRAINING STANDARDS FOR UNLICENSED COMPLEMENTARY AND ALTERNATIVE HEALTH CARE PRACTITIONERS. THIS STATEMENT OF CREDENTIALS IS FOR INFORMATION PURPOSES ONLY.

Under Minnesota law, an unlicensed complementary and alternative health care practitioner may not provide a medical diagnosis or recommend discontinuance of medically prescribed treatments. If a client desires a diagnosis from a licensed physician, chiropractor, or acupuncture practitioner, or services from a physician, chiropractor, nurse, osteopathic physician, physical therapist, dietitian, nutritionist, acupuncture practitioner, athletic trainer, or any other type of health care provider, the client may seek such services at any time.

Complaints: If the Client has a complaint or concern about the care or services they have received, the Client may also contact the Office of Unlicensed Complementary and Alternative Health Care Practice located in    Minnesota Department of Health:

Mailing address: P.O. Box 64882, St. Paul, MN 551640882

Phone: 6512013728 Fax: 6512013839 Website: www.health.state.mn.us

Fees per unit of service:

  • Herbs: not included
  • Initial consultation fee: $150
  • Follow up fee: $55 (30 – 60 minutes)
  • New consultation for existing client (3+ months inactive): $150

Payments/Insurance: The Practitioner accepts payments via the Practice Better platform, which uses Square. Payments are also accepted via Paypal. This practitioner does not accept insurance, Medicare, or medical assistance. Payment in full is due at the time of booking unless otherwise arranged prior to booking.

Cancellation: A 24-hour notice is required for a change or cancellation of an appointment. A cancellation fee of 75% of the service may be charged for a missed appointment or lack of 24-hour notice.

Electronic Communication: The client agrees that all electronic communication between client and practitioner may become part of the client file, and recognizes that because of inherent insecurities with electronic media, these communications cannot be guaranteed confidential.

CLIENT’S RIGHTS

● Change in Charges: Cost of service is subject to change at any time. Current clients actively receiving care will be notified of changes at least 30 days prior to their effect.

● Information: Clients have the right to complete and current information concerning the practitioner’s assessment and recommended service that is to be provided, including the expected duration of the service to be provided.

● Confidentiality: Client records are confidential and will not be released unless authorized by the client in writing or as otherwise provided for by law. Client’s information may be discussed/shared anonymously in a classroom setting for educational purposes. Practice Better platform is HIPAA compliant.

● Right to Records: Clients have the right to access to their own records and written information from their records maintained by the Practitioner, in accordance with state statute sections 144.291 to 144.298 ( https://www.revisor.mn.gov/statutes/cite/144.291)

● Courteous Service: Clients have the right to expect courteous treatment, free from abuse or any kind.

● Seeking Other Treatment: Other herbal therapy services are available to the Client in this same community. These can be located by asking the Practitioner or independent search.

● Right to Choose & Change Practitioners: The Client has the right to choose freely among available practitioners and to change practitioners after services have begun, within the limits of health insurance, medical assistance, or other health programs.

● Right to Coordinated Transfer: The Client has the right to coordinated transfer of records when there will be a change in the provider of services.

● Right of Refusal of Service: The Client may refuse services or treatment unless otherwise provided by law.

● No retaliation: The Client has the right to assert any and all of the above-mentioned rights without retaliation from the Practitioner.

Theory of Treatment: As an herbalist, the practitioner’s goal is to support the body in healing itself. The practitioner takes a holistic approach encompassing body, mind, spirit, and emotion when evaluating the client and recognizes the uniqueness of the individual. The practitioner utilizes folk herbalism alongside Western concepts of organ systems, tongue and facial diagnosis, intuition, and pulse testing.

Informed Consent: Client understands that NO ONE at Jascha Botanicals is a licensed physician, and cannot diagnose diseases, prescribe drugs, or recommend treatments for specific disease conditions. 

Client understands all evaluations performed by the staff at Jascha Botanicals, or their representatives, are designed to evaluate inherent constitution and temperament for the sole purpose of helping to improve general health through nutrition, habits, and attitudes. Client further understand that said evaluations cannot determine specific disease conditions client may have, and do not replace the diagnostic services offered by licensed physicians.

Client understands that the staff at Jascha Botanicals or their representatives will not suggest that client cease any medical care client may be undertaking. Client understands that the decisions the client make regarding their health care and the health care of those under their guardianship are client’s responsibility, and certify that client will not hold anyone at Jascha Botanicals or their representatives responsible for the consequences of client’s decisions.

Jessica Jascha and Jascha Botanicals accepts no liability and/or responsibility for any actions and/or decisions any client chooses to take or make based on their consultation. Client hereby waives, releases, discharges, and hold harmless Jessica Jascha and Jascha Botanicals from any and all liability for any and all injuries, now or in the future, foreseen or unforeseen. Further, client will indemnify and hold Jessica Jascha, Jascha Botanicals, and its offices harmless from and against any and all claims, rights, damages, liabilities, losses, costs and expenses arising from or in connection with any injuries to other persons.

Client agrees that using any of these services are entirely at client’s own risk. Wellness services are provided “as is”, without warranty of any kind, either expressed or implied, including without limitation any warranty for information services, consultations, uninterrupted access, or products and services provided through or in connection with the service. This service is requested at the client’s own choice and with inherent singular responsibility. Any actions or lack of actions, taken by the client of such advice is done so solely by choice and responsibility of the client and is neither the responsibility nor liability of Jessica Jascha/Jascha Botanicals (Practitioner). Client takes full responsibility in the decisions made after receiving a consultation, as well as the consequences. Client enters into wellness consultation with full understanding that client is responsible for creating their own results. Periodically the practitioner, Jessica Jascha/Jascha Botanicals may provide links to other web sites or written print material which may be of value, interest and convenience to client. This does not constitute endorsement of material at those sites or any associated organization product of service. It is the responsibility of the client to make their own informed decision about the accuracy of the information at those sites and print material including their privacy policies. In no event shall Jessica Jascha be liable for any incident or consequential damages resulting from use of the material.