INTAKE FORM

The intake questionnaire below is a standard wellness client intake form used to get a better picture of your health history. These questions will enhance our efficiency and will provide for more effective use of your scheduled consultation time. These questions will help to identify underlying root causes of illness and will also assist us to formulate a plan.

Disclaimer: All information, content, and material is copyrighted and for educational purposes only. Information and view points are not intended to serve as a substitute for the consultation, diagnosis, and/or medical treatment of a qualified physician or healthcare provider. Always consult your physician first before starting any new diet, exercise, supplement, or lifestyle change.  I do not treat or cure disease.

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