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Natural Terrain Naturopathic Clinic #200, 6650 177 St NW, Edmonton, AB, T5T 4J5 Tel: 5875213595 Fax: 7806695785 CHILD INTAKE FORM Name: Alberta Health Care #: Address: Street City Province Postal
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How to fill out natural terrain naturopathic clinic:

01
Gather your personal information - Start by providing your full name, address, contact number, and email address. This information will be used for communication and documentation purposes.
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Complete medical history - Fill out the medical history form accurately and honestly. This includes any previous medical conditions, allergies, surgeries, medications, and family medical history. Providing this information helps the naturopathic practitioner understand your health background better.
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Specify your current symptoms - Describe in detail the symptoms or concerns that you are experiencing. This could include physical symptoms, emotional imbalances, or any specific health goals you want to address through naturopathic care. Be open and transparent to receive the most effective treatment.
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Share your lifestyle habits - Inform the clinic about your daily routines, stress levels, work-life balance, exercise regime, and dietary habits. These insights will help the naturopathic practitioner to assess your overall lifestyle and identify potential areas for improvement.
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Provide any previous test results - If you have undergone any recent medical tests or assessments, bring the results with you to the clinic. This includes blood tests, imaging reports, or any other relevant medical documentation. Sharing these results ensures a comprehensive evaluation of your health status.
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Mention current supplements and medications - Make a list of all the supplements and medications you are currently taking, including over-the-counter drugs. This information assists the naturopath in understanding potential interactions or contraindications with the recommended treatments.

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Individuals seeking a holistic approach - If you prefer a holistic approach to healthcare that focuses on addressing the root cause of ailments rather than just managing symptoms, natural terrain naturopathic clinic can be beneficial for you.
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People desiring personalized care - Naturopathic medicine emphasizes personalized and patient-centered care. If you feel that your healthcare needs are not being fully addressed in the conventional medical system, the naturopathic approach can offer individualized treatment plans tailored to your specific needs.
Note: It is always crucial to consult with a healthcare professional before making any changes to your medical regimen or embarking on a new treatment approach.
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