Portland Oregon Northeast ,Chistian Naturopathic Practice,Herbs, Homeopathics, nutrition, Counseling,  ,Neurofeedback, EEG, LENS, Zyto, LSA
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  Intake Questionnaires  
 

 

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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


Home Page | About Us | Search | Contact Us | Services | Site Map | Margo Diann Abshier, ND | Thomas Lee Abshier, ND | Office Directions | Homeopathic Intake | General Intake 1 | Therapies | Nutritional Assessment Questionnaire | Review of Systems | Physical Exam | Laboratory Tests | Informed Consent