The Heavens Declare His Handiwork

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Thomas Lee Abshier, ND
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Naturopathic Physician

Christian Counselor

Political Philosopher

Theoretical Physicist
 

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Marriage & Personal Counseling

Medical Consultations

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1414 NE 109th Ave.

Portland, Oregon

(503) 255-9500
drthomas@naturedox.com

Intake Forms

• The Informed Consent must be read, understood and signed before a patient will be treated at our clinic.
• Some of the forms below are very lengthy, allow enough time to fill them out before coming in to the clinic.  
• The General Intake and Informed Consent forms should both be filled out before coming in to be seen as a patient for a first visit.
• Each of the forms may be copied and pasted into Word, filled out on the computer, saved as a file, and emailed.  

Form #1: General Intake: Personal History, Past Medical History, Family History, Habits, Diseases, Food, Exercise...

Form #2: Review of Systems: Symptoms in various parts of your body

Form #3: Nutritional Assessment Intake: How does your body respond to various stimuli?

Form #4: Homeopathic Intake: Mental/Emotional response to life?

Form #5: Physical Exam: Areas of the body, how they look, sound, and function

Form #6: Laboratory Tests: Selected tests for internal chemistry indications of health

Form #7: Informed Consent: Ethics, expectations, contracts of performance for Doctor and Patient

Naturopathic Medicine - the Holistic Healing Paradigm

Including: Orthomolecular, Functional, Herbal & Homeopathic Medicine

Goal: Restoring the Body’s God Given Pattern of Health
Method: Removing the Resistance to Cure, and
Proper Nutrition, Lifestyle, Relationship, & Body Mechanics

Diagnosis: Lab & Clinical Indications of Errors of Metabolism, Lifestyle, and Genetics