Dr. Michael Turcotte
Educator of Holistic Healthcare and Traditional Naturopathy
A PRIVATE MEMBER NON-PUBLIC ESTABLISHMENT
Who I am in Faith
I am a Christian holistic (body-soul-spirit) practitioner that offers natural solutions, educational help, professional protocols, programs in Natural Health and yes prayer if requested. I focus on the integration of the body, mind and spirit within a nondenominational, Christian framework. As an ex-drug and alcohol abuser and now as a Christian and Certified Natural Health Professional I put my faith in the full "Gospel of Christ".
The gospel contains, what I believe to be the two greatest powers in the universe as they are mentioned in the bible; the first is the "person" of Christ Jesus described as all man yet all God, the only sacrificial savior and the only way to God the creator and the second power is the "teachings" of Jesus Christ which translates "Precepts" and shows us how to live to love God and love others.
In todays world, with terrorist raging and every group seeking "legal rights" and the United States as a whole thumbing our nose at the mention of Jesus, the most difficult thing to do yet, It is the most loving thing to tell the truth about the way of salvation. If history and the bible documents that Jesus has said, "I am the way, the truth, and the life; no man comes to the Father but by me" (John 14:6), then each man and woman must ask ourselves perhaps what may be the most important question of our lifetime and then we must decide whether Jesus was telling the truth, a liar or just a big hoax. If we do indeed put or faith in Jesus then for the sake of the forgivness and love he showed us, then for the same sake we must pay our debt to the world, and despise the shaming of the "tolerance" we must tell them, "There is salvation in no one else; for there is no other name under heaven that has been given among men by which we must be saved" (Acts 4:12). The gospel of Christ alone is the power of God unto salvation. Jesus is Lord and Savior and Healer and Deliverer....He is so much more than I, Michael deserve.
My Mission
To offer the most complete natural health evaluations and natural solutions that provides people with health, hope and support to transform their lives and improve the world.
(Ezekiel 47:12) “And I give you by the river upon the bank thereof, to be found on this side and on that side, and there shall grow on all trees for meat, whose leaf shall not fade in strength, neither shall the fruit thereof be diminish: it shall bring forth new fruit according to his months, because their waters they issued out of the sanctuary: and the fruit thereof shall be for nourishing meat, and the leaf thereof for medicine.”
My Health and Wellness Philosophy in a nutshell
(see my philosophies page)
My philosophy is that when the physical, mental and spiritual aspects of the whole person are developed, true health can be achieved. I've designed my approach to support the integration of all three. I believe the Bible to be a great source of learning and the final authority on spiritual matters. For these reasons I may share (if feel led) to emphasize the knowledge found in the Scriptures to create a spiritual foundation. Because of the inherent spiritual nature within each of us, there is a need to be spiritually-grounded and knowledgeable when analyzing any health issue.
My Training and Background
Most people don't know but the word "doctor" comes from the Latin word "docere" meaning "to teach." Doctorate of Philosophy, from the Latin Philosophiae Doctorate, PhD was used in a broader sense in accordance with its original Greek meaning, which is "love of wisdom" and originally this was a license to teach a philosophy on any subject after one has mastered it MA. How far have we come?
I teach natural ways to enhance health, promote optimal wellness and encourage longevity. The Naturopathic approach is holistic and focuses on maintaining wellness, encourage inner healing with an emphasis on conditions/dis-ease prevention. I emphasize creating a lifestyle which includes pure water, clean air, wholesome food, proper diet and nutrition, exercise, proper living, appropriate rest, right thinking, absence from toxic substances, body ecology, effective management of stress and a number of other natural practices which lead to the balanced living concept.
I believe that physical health is primarily a reflection of God's universal law of cause and effect. How we care for our bodies is both a physical and spiritual issue that impacts our health and the health of our children. In cases where health principles have been violated, the only true "cure" is for the body to restore its own protective mechanisms by removing those physical and spiritual roadblocks that hinder restoration and/or healing. Course studies in Naturopathy teach practices that build immunity, improve mental health and enhance overall body functions.
I give people the tools that are intended to be used for an individual's own personal development. With discretion, an individual may be able to use this knowledge to heal themselves and to educate others.
(Hosea 4:6) My people perish for lack of knowledge: because you reject knowledge, likewise you will be rejected.
Nondiscrimination
I personally hold a nondiscrimination policy. I do not discriminate on the basis of gender, race, age, creed, religion, sexual preference or national origin. I conform to all federal laws concerning civil liberties.
Historical Roots (see my story page)
I have evolved into a compassionate, powerful healer and educational practitioner that enables people to improve their own health, enhance the good health of their families, friends and communities, and their own professional and personal lives.
Everyone must understand and agree to and sign the agreement below.
Agreement and Disclosure Between Yourself and Michael
I, the undersigned, request that Michael Turcotte perform an evaluation, analysis, or interview and set up a program or have sessions for the purpose of supporting and balancing my body or enhancing my wellness, or for the purpose of my education.
I understand that Michael Turcotte provides both nutritional services and massage therapy services. I, the client, can distinguish between nutritional services and massage therapy services and that I have decided what services I am requesting.
I understand that Michael Turcotte has NO medical background and is not a doctor or medical professional.
I understand that NONE of the products or services that may be suggested to me are NOT intended as a substitute for regular medical care. I understand that if I believe that I have an illness or disease that I am advised to seek IMMEDIATE medical care from a licensed medical doctor.
I understand that information that I may be provided is presented for educational purposes only. It is not intended as a substitute for the diagnosis, treatment and advice of a qualified, licensed, medical professional. If I have, or have reason to suspect that I may have a medical problem, I will contact my health care provider immediately. I will never disregard professional medical advice or delay seeking professional advice because of something I have read or heard this office.
I understand that information and statements regarding dietary supplements, medications, surgical procedures, and therapies may not necessarily have been evaluated by the Food and Drug Administration and that no products, service or information are NOT intended as diagnosis, prescription, or treatment for any disease, physical or mental.
I understand and agree that Michael Turcotte has following training and/or certifications and/or studies and/or background in: wellness counseling, nutritional counseling, herbal counseling, live cell analysis, quantitative fluid analysis, Lymphatic detoxification therapy, light therapy, universal frequency therapy, essential oils counseling, and eastern massage and bodywork therapies. I understand that Michael Turcotte's training is not limited to these listed herein.
Date: _______ Signature_________________________
PLEASE PRINT NAME_____________________________
Client Informed Consent and Request for Light Energy and Frequency Therapy
I,________________________________________ , request to be provided Light Energy Therapy using the Light Beam Generator™ or any similar equipment for the use of energy balancing and energy bodywork. This device(s) is a novel piece of equipment in the use of wellbeing for over 15 years with no known adverse side effects. In theory only this device may provide universal energy that may be a contributing factor in the feeling of wellbeing.
I am fully aware that it has been stated and written that this energy balancing and energy bodywork are experimental and medically unproven to be beneficial in any accepted medical study.
I am fully aware that the use of this equipment is not intended for the cure or litigation of any disease.
I am fully aware that sessions are not to replace conventional medical treatment.
I agree that if I think that I may have a disease or illness, and if I haven’t done so already, I am advised to seek the immediate care of a licensed medical doctor.
I am fully aware that it has been stated and written that I am advised to continue any conventional traditional medical methods of care.
Finally, I hereby certify that this form has been fully explained to me by the provider, and that I am satisfied that I understand its content and significance.
__________________________________ _______________________________________
Print Name (Client) Signature (Client)
Michael’s Nutrition Counseling Intake Form
Please return this form prior to your first visit.
Name___________________________________ Date of first visit_______________________
Address_________________________________City/State/Zip__________________________
Phone # (home)__________________(work)____________________(cell)________________
Email________________________________________________
Age__________ Date of Birth________________ Gender: female_______ male_______
Single______Married______Separated______Divorced______Widowed_____Partnership____
Live with: Spouse____ Partner ____ Parents ____ Children ____ Friends _____ Alone _____
Occupation_______________________________Employer_____________________________
How did you hear about our center? _______________________________________________
Emergency contact: Name ________________ Relationship ___________ Phone___________
Primary Care Provider: Name _________________________ Phone_____________________
If necessary may I speak with your Primary Care Provider? Yes No
What are your most important health concerns? List in order of importance:
1)______________________________________________________________________
2)______________________________________________________________________
3)______________________________________________________________________
4)______________________________________________________________________
5)______________________________________________________________________
Please describe any important events, which may have contributed to any of the above problems:
(you may continue on back)
_________________________________________________________________________
If you have seen other holistic practitioners for these problems, indicate when and for how long, along with the results of these evaluations, therapies and or treatments: (you may continue on back)
_____________________________________________________________________________
Height _________Weight _________Max weight & when ___________Goal Weight________
Please list 3-5 goals regarding what you hope nutrition counseling will help you achieve.
PAGE 1
Please indicate if you or a family member has had any of the following now or in the past, along with years affected if known:
Specified Relative conditions
Alcoholism
Anemia
Anorexia
Arthritis
Asthma
Binge Eating
Bulimia
Cancer
Compulsive overeating
Crohn’s disease/colitis
Depression
Diabetes
Food Allergies or Sensitivities
Heart Disease
Hepatitis
Herpes
High Blood Pressure
High Cholesterol
HIV
Hypoglycemia
Irritable bowel syndrome
Kidney disease
Lupus
Lyme disease
Mental illness
Migraine Headaches
Multiple Sclerosis
Stomach/Intestinal Ulcers
Stroke
Thyroid disease
Substance Abuse
Hospitalizations and Surgeries (types and dates) (Physician for each):
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Current Medications :
Name Dosage For what?
_____________________ _______________________ _________________________
_____________________ _______________________ _________________________
_____________________ _______________________ _________________________
_____________________ _______________________ _________________________
Nutritional Supplements (such as vitamins):
Name Dosage Why?
_____________________ _______________________ _________________________
_____________________ _______________________ _________________________
_____________________ _______________________ _________________________
_____________________ _______________________ _________________________
Please list any medications/supplements you may have an allergy/reaction to and the type of
reaction:______________________________________________________________________
_____________________________________________________________________________
PAGE 2
Do you currently smoke?___________ Do you currently chew? _________________
If yes to either, how much daily and for how long have you been doing so? ___________
________________________________________________________________________
If no, did you ever smoke or chew/for how long/when did you stop? _________________
________________________________________________________________________
Recreational Drug Use:
Type and frequency________________________________________________________
Have you ever been treated for substance abuse? If yes, where and when______________
________________________________________________________________________
Exercise:
Do you currently exercise? If yes, please explain. ________________________________
_______________________________________________________________________
Sleep:
Average amount of sleep per night: __________________________________________
Do you fall asleep easily? Y or N Do you wake often during the night? Y or N
Do you wake up feeling rested? Y or N
Are you currently following any special dietary guidelines, including vegetarianism/veganism?
If yes, please explain.
If you compulsively overeat, what foods are you most likely to consume during such episodes?
Do you experience food cravings? If yes, explain.
Please record an example of one day of what you usually eat, indicating approximate time,
location, food item, and amount from getting up in the morning until going to bed. If your
intake varies much from day to day please list two days.
The information that you may be provided is presented for educational purposes only. It is not intended as a substitute for the diagnosis, treatment and advice of a qualified, licensed, medical professional. If you have, or have reason to suspect that you may have a medical problem, contact your health care provider immediately. Never disregard professional medical advice or delay seeking professional advice because of something you have read or heard in or office. Information and statements regarding dietary supplements, medications, surgical procedures, and therapies may not necessarily have been evaluated by the Food and Drug Administration and any products, service or information is not intended to diagnose, or cure any disease.
Consent for Nutritional Ed: I, the undersigned, have voluntarily applied for and agree to participate in a nutritional balancing program with Michael Turcotte.
Your signature indicates your understanding and acknowledgement of the purpose of your visit and also that the information provided is as accurate as possible. If there are any changes with your health you will let Michael Know as soon as possible.
Please sign your name _____________________________________Date_________________
Client Intake Form – Therapeutic Massage
Personal Information:
Name Phone (Day) Phone (Eve)
Address
City/State/Zip
email Date of Birth Occupation
Emergency Contact Phone
The following information will be used to help plan safe and effective massage sessions.
Please answer the questions to the best of your knowledge.
Date of Initial Visit
1. Have you had a professional massage before? Yes No
If yes, how often do you receive massage therapy?
2. Do you have any difficulty lying on your front, back, or side? Yes No
If yes, please explain
3. Do you have any allergies to oils, lotions, or ointments? Yes No
If yes, please explain
4. Do you have sensitive skin? Yes No
5. Are you wearing contact lenses ( ) dentures ( ) a hearing aid ( ) ?
6. Do you sit for long hours at a workstation, computer, or driving? Yes No
If yes, please describe
7. Do you perform any repetitive movement in your work, sports, or hobby? Yes No
If yes, please describe
8. Do you experience stress in your work, family, or other aspect of your life? Yes No
If yes, how do you think it has affected your health?
muscle tension ( ) anxiety ( ) insomnia ( ) irritability ( ) other
9. Is there a particular area of the body where you are experiencing tension, stiffness, pain
or other discomfort? Yes No
If yes, please identify
10. Do you have any particular goals in mind for this massage session? Yes No
If yes, please explain
Circle any specific areas you would like the
massage therapist to concentrate on
during the session:
Continued on page 2
( ) phlebitis
( ) deep vein thrombosis/blood clots
( ) joint disorder/rheumatoid arthritis/osteoarthritis/tendonitis
( ) osteoporosis
( ) epilepsy
( ) headaches/migraines
( ) cancer
( ) diabetes
( ) decreased sensation
( ) back/neck problems
( ) Fibromyalgia
( ) TMJ
( ) carpal tunnel syndrome
( ) tennis elbow
( ) pregnancy If yes, how many months?
Medical History
In order to plan a massage session that is safe and effective,
I need some general information about your medical history.
11. Are you currently under medical supervision? Yes No
If yes, please explain
12. Do you see a chiropractor? Yes No If yes, how often?
13. Are you currently taking any medication? Yes No
If yes, please list
14. Please check any condition listed below that applies to you:
( ) contagious skin condition
( ) open sores or wounds
( ) easy bruising
( ) recent accident or injury
( ) recent fracture
( ) recent surgery
( ) artificial joint
( ) sprains/strains
( ) current fever
( ) swollen glands
( ) allergies/sensitivity
( ) heart condition
( ) high or low blood pressure
( ) circulatory disorder
( ) varicose veins
( ) atherosclerosis
Please explain any condition that you have marked above
15. Is there anything else about your health history that you think would be useful for your massage practitioner to
know to plan a safe and effective massage session for you?
Draping will be used during the session – only the area being worked on will be uncovered.
Clients under the age of 17 must be accompanied by a parent or legal guardian during the entire session.
Informed written consent must be provided by parent or legal guardian for any client under the age of 17.
I, (print name) understand that the massage I receive is provided
for the basic purpose of relaxation and relief of muscular tension. If I experience any pain or discomfort during this
session, I will immediately inform the therapist so that the pressure and/or strokes may be adjusted to my level of
comfort. I further understand that massage should not be construed as a substitute for medical examination,
diagnosis, or treatment and that I should see a physician, chiropractor or other qualified medical specialist for any
mental or physical ailment that I am aware of. I understand that massage therapists are not qualified to perform
spinal or skeletal adjustments, diagnose, prescribe, or treat any physical or mental illness, and that nothing said in
the course of the session given should be construed as such. Because massage should not be performed under
certain medical conditions, I affirm that I have stated all my known medical conditions, and answered all
questions honestly. I agree to keep the therapist updated as to any changes in my medical profile and
understand that there shall be no liability on the therapist’s part should I fail to do so.