Pre Consultation Data Sheet

Please fill in the below form prior to consultation to assist with accurate data collection.

IN ADDITION: During your first consultation we will be discussing your health history. In preparation for this consultation I ask new clients to think back on what health issues and interventions and significant events they have encountered over their life time and when they occurred. Also what kind of medications, vaccinations and chemicals they may have been exposed to in the past, that could be significant. This is helpful information in understanding what underlies their current state of health.

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