Skip to main content

Contact Form

Contact Form For All Services

For Israeli Residents ONLY

Read About Fees For Programs and Services BEFORE Completing This Form

Sending this form doesn't require payment. You will be sent the Questionnaire Analysis which you'll need to pay 150₪ in order to start the work. Payment can be done online


REQUEST A CONSULTATION OR SERVICES

First and Last Name:

Phone number(s):

When's the best time to reach you:

Email (please double check):

Name of Person for Care (also for Tefilla): ____ bat _____

Age of Person for Care:

Address:

CURRENT HEALTH ISSUE

Select the program of your choice. Choose only one:

  1. Chronic Care program
  2. Complex Chronic Care (more than 2 health issues)
  3. Fertility/Pregnancy Program
  4. ADHD/ASD Program
  5. Homeopathic Detox Program
  6. Spiritual Homeopathy Program
The Acute Care Program is addressed with a different questionnaire. 
Read the Terms and Conditions for the pricing and other details. 

What is the MAIN ISSUE or DIAGNOSIS that are you are seeking homeopathic care for?

Please select the ONE (1) Main Health Concern that applies to the person the you are seeking care for.

If there is a medical diagnosis made, pick the MAIN ONE diagnosis that matches the main issue.

You will explain more details in the comments section below.

  • Acne
  • Allergic rhinitis
  • Allergies
  • Ankylosing spondylitis
  • Anorexia nervosa
  • Anxiety
  • Anxiety disorders in children
  • Appendicitis
  • Arthritis
  • Asthma
  • Atopic Eczema
  • Attention deficit hyperactivity disorder (ADHD)
  • Autistic spectrum disorder (ASD)
  • Bipolar disorder
  • Blood poisoning (sepsis)
  • Bronchitis
  • BulimiaMe
  • Cerebral palsy
  • Chest infection
  • Chest pain
  • Chickenpox 
  • Chronic fatigue syndrome
  • Chronic kidney disease
  • Chronic pain
  • Conjunctivitis
  • Constipation
  • Corona Virus (COVID)
  • Crohn's Disease
  • Cystitis
  • Dental Abscess
  • Depression
  • Diarrhea
  • Dizziness
  • Down Syndrom
  • Functional Neurological Disorder
  • Gallstones
  • Ganglion Cyst
  • Gastro-oesophageal reflux disease (GORD)
  • Gum disease
  • Haemorrhoids (piles)
  • Hay Fever
  • Headaches
  • Hiatus Hernia
  • Impetigo
  • Indigestion
  • Irritable Bowel Syndrom
  • Itching
  • Kidney Stones
  • Laryngitis
  • Measles
  • Menopause Issues
  • Otitis Media
  • Miscarriages
  • Mouth Ulcer
  • Migraines
  • Multiple Sclerosis (MS)
  • Obsessive Compulsive Disorder (OCD)
  • Ovarian Cyst
  • Post-traumatic stress disorder (PTSD)
  • Post-Natal Depression
  • Psoriasis
  • Raynaud's phenomenon
  • Shortness of Breath
  • Stress, anxiety and low mood
  • Any type of cancer
  • Tonsillitis
  • Toothache
  • Urinary Tract Infection (UTI)

How long has the main issue been a health condition?

  • 1-3 months
  • 3-6 months
  • 6-12 months
  • 1-3 years
  • 3-5 years
  • 10 years or more


Name each current or suspected diagnosis, in chronological order with the year it started after each.  
List any active medial diagnosis within the last 5 years.



Number of Total Diagnoses (CURRENT): 

COMMENTS: Please provided us with more general details on the nature of your inquiry.

How did you find out about us?

Have you ever used homeopathy before or worked with a professional Homeopath before?

Comments

Popular posts from this blog

Diatomaceous Earth - DE - Friend or Foe?

 There's a very popular topic around here should you need a subject of conversation - that's worms, yes, of the intestinal kind (not the intellectual kind. I used to be a book worm, I guess I still am in a way).  Worms? Because they infect so many people so fast, it's important to find an alternative to the current medical solution which is basically poison to the body. For months I prayed to find one so we could get rid of these parasites, visiting my children's rectum every night (sorry for the visual).  I tried a soup recipe with all the types of food supposed to get rid of worms. Even homeopathy doesn't kill the parasites. Vermox, the medical option, works sometimes and sometimes not, but who knows what damage it does while it travels the body.  One day, I come across this post on hpathy.com, one of my favorite homeopathy reference website: "Stumbled upon this post, but I want to let anyone know who feels hopeless about parasites, especially worms. Food Gr...

Strong Cases: Homeopathy for Concentration Issues

 In my own practice, I saw so much beautiful improvements in my patients' children but I would like to share with you here some real cases from real homeopaths from around the world, especially successful with concentration issues.  A Case of Lack of Concentration Dr. Pooriya Jeste Subhedar presents a case of behavior problems in a seven year old boy. A 7 year old boy came with his mother to my clinic. His mother is a nurse and the father is handicapped but working. His mother complained that the boy is too restless. He doesn’t sit at one place, doesn’t want to study and performs poorly in examinations. She said he doesn’t obey and is very irritable, talking back to everyone. He beats on his mother and throws things away when angry. There are complaints from his teachers that he doesn’t pay attention in class and lacks concentration. He also fights with other students. His books are incomplete and all crumpled. He doesn’t take notes in class. He makes spelling mistakes, e.g wr...

A Homeopath in Modiin Illit?

Welcome to my blog. As one of the only (or the only?) homeopath in Modiin Illit, the blog is the only window to my practice people can have with a computer. I don't have a website and I don't have Facebook, Instragram nor even LinkedIn as a way to advertise. I think that my testimonials are the real and only publicity I'll ever need: people like you who needed help for their health and homeopathy, with me as a shaliach, was able to get them better, in a fast and safe way.  This is what I think since I started with Yael Meir Homeopathy as a full-time practice: Homeopathy is a Gd-given gift to humanity to address all health issues in a safe way, and get a gentle cure for ailments both physical or/and mental. People turn their lives over because they're finally rid of the pain and suffering which stops them from serving Gd properly.  Training I learned homeopathy at the Alternative Medicine College of Canada, which my father heads. There I specialized in both naturopathy ...