claytoniaclaytonia

 

 

Medical Herbalist

 
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Holistic Medicine - Helping you get to the root of the problem

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PATIENT

&

STUDENT

ONLY AREA

 

 

Contact me at:

Christine Dennis 

53793 McQuiggan Line

RR#1Port Burwell

ON, Canada

N0J 1T0

PH# -519.874.4532

christinedennis@start.ca

www.christinedennis.ca

 

Tuesday September 6, 2016 8:41 PM
 


 
 

 

FORMS

Intake Questionnaires

A completed Intake Questionnaire is required for you to bring with you to the initial consultation..

Adult Intake Form

Child Intake Form

Other Forms

Diet and Life Style Diary

Symptom Assessment Scale

Basal Body Temperature Chart

 

 

 

Download my pamphletto share with family and friends.