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THE FREE 5 MINUTE PHONE CONSULT

You have not yet completed and submitted this consent form. If you intend to have a free 5 minute telephone educational informal consultation, you will need to read, acknowledge, and submit this form.

Please understand clearly that by talking to Dr. Schaller you will NOT become a patient. No physician-patient relationship will exist in any form based on this informal chat.

YOU WILL NOT HAVE A PATIENT-DOCTOR RELATIONSHIP BECAUSE DR. SCHALLER IS NOT TREATING YOU. DR. SCHALLER IS JUST OFFERING POSSIBLE IDEAS TO PURSUE WITH YOUR OTHER HEALTH CARE WORKERS. ALSO, TO BE A PATIENT YOU HAVE TO BE SEEN AND HE IS NOT SEEING YOU.

Why do this for patients? Dr. Schaller feels life is short and a brief friendly chat might be of use to you. He also likes meeting new people from all over the world.

Please Note: Due to the creative nature of this service, Dr. Schaller has to be especially careful in this anti-MD environment and with character disordered people who consider a mere 5 minute talk as "medical care." Common sense alone makes it obvious that any new physician treating you spends over 5 minutes. Be patient with any apparent defensive or negative wording. Thank you in advance.


I understand and agree to the following

Click each box to agree or to say you understand each point to obtain an individual educational consult.

When you are finished, click the button labeled "Send This Form" at the bottom of the page. 

Dr. Schaller wants to be honest, clear, up-front, and thorough to ensure you are not disappointed with this BRIEF CHAT.

Dr. Schaller will defer to your family doctor or other physicians the responsibility of writing any prescriptions for you. Never self treat based on Dr. Schaller's comments.
Dr. Schaller may suggest certain tests. If these are lab tests, you will need your family physician to consider the merits of ordering them since Dr. Schaller will not write any prescriptions.
Dr. Schaller may make suggestions based on information from third parties. For example, you may quote a lab result which may be incorrect -- the lab made an error. Dr. Schaller's reflections may therefore be incorrect. Dr. Schaller may also send you materials or mention websites that may have useful information, but these also may have possible errors. He cannot examine, guarantee, and verify all data involving "third parties."
All Dr. Schaller's suggestions and ideas will be under the supervision of your current physician(s) who will provide your care. Dr. Schaller will only offer personal education.
Dr. Schaller is trying to bridge the gap between generic education sites for "everyone" and individual care. But he is NOT your physician or your health care provider in any manner.
Dr. Schaller offers conservative and progressive medicine. If you believe FDA approved drugs should only be used for FDA approved uses, you should not waste your time on this site.
Much in medicine is not simple in clinical practice. Research is sometimes years behind clinical challenges. Dr. Schaller may suggest "off-label" uses of FDA approved drugs to discuss with your health care providers. "Off-label" medication use is common in medicine and means a drug approved for one diagnosis is used for a different diagnosis.
Dr. Schaller's materials may discuss usages and dosages for therapeutic products and nutritional products that have not been approved by the United States Food and Drug Administration. He defers his ideas for discussion with your physicians.

He will never promise his care or opinion is the "standard of care in medicine." People use this expression in many vague and confusing ways.

Dr. Schaller might share treatments that may benefit you. Discuss these options with your personal physician. Do not self-treat yourself.
Unfortunately, if you have sued a physician in the last 15 years, or if an immediate family member has filed suit against a doctor in the past 10 years, we prefer you not speak with Dr. Schaller.
You must be are over 18 years old to have this consult, or your legal guardian fully accepts your educational consult with Dr. Schaller.
You are fully fluent in the English language. Dr. Schaller wants you to have a clear and understandable casual chat.
No receipts will be mailed to you. This chat is free. "Service" receipts are unavailable at this time since you are NOT a formal patient.
Benefits vary from person to person. Dr. Schaller will try to clarify a confusing issue with one conversation but some problems may be outside of his ability. Generally, if your question relates to topics he has on the home page or in his publications, he can offer a place to start in your health learning.
Dr. Schaller does not claim to be "an expert" in anything. While in courts, he has been accepted as an expert witness, he has not mastered the vastness of possibilities surrounding any single issue. He tries to pursue aggressive education and publishes in medical, psychiatric, hormonal and nutritional areas and in various medical journals and newspapers. But there is much he does not know. Therefore, he makes no claim at expertise. He will merely try to suggest an idea or two that might help you in your work with your physicians and other health care workers.
Please consult your doctor before you use any therapeutic products discussed.
Your doctor should verify all information and data before treating you or employing any therapies described on this web site, emailed material or in your brief chat with Dr. Schaller.
Dr. Schaller will be unable to supply formal reports or call your physicians, since that communicates to most physicians that you are under his care. They will be unaware of this consent form you have fully clicked saying you are not a patient.
I HAVE READ CAREFULLY AND FULLY UNDERSTAND ALL THE STATEMENTS ABOVE.
 

[We regret the need for such a thorough consent. Nevertheless, clear communication is a form of integrity. Unique services need extra clarity. Thank you for your patience.]

 
Free Consult Information Required For a Call From Dr. Schaller:


Name:

Age:

Preferred Email:

What are the best phone number(s) to reach you. Dr. Schaller will call all of these numbers once and then probably only one more time if you are not available.

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2)



Your Two Consult Questions (Have a pencil and paper ready if possible)

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2)

Current Major Medical Problems

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3)

Major Past Medical Problems

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3)


Dr. Schaller will not be able to speak over your 5 minute time. Also, please do not fill this information form with more information than it allows.
                 

   
  
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