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THE NATUROPATHIC OFFICE OF DR. MAYA ROTH 322 N La Area Ave, Los Angeles, CA 90036, Tel (323× 9359777 Fax (323× 9355171 NEW PATIENT INTAKE FORM Please fill out this form as completely as possible.

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What is naturopathic intake form?

Naturopathic intake form is a document used by naturopathic doctors to gather important information about a patient's medical history, current health concerns, and lifestyle habits.

Who is required to file naturopathic intake form?

Patients who are seeking treatment from a naturopathic doctor are required to fill out the intake form.

How to fill out naturopathic intake form?

Patients can fill out the naturopathic intake form by providing accurate and detailed information about their health history, current symptoms, medications, and lifestyle choices.

What is the purpose of naturopathic intake form?

The purpose of the naturopathic intake form is to help naturopathic doctors assess a patient's health needs, create a treatment plan, and monitor progress over time.

What information must be reported on naturopathic intake form?

Patients are required to report their medical history, current symptoms, medications, allergies, diet, exercise routine, and any other relevant health information on the intake form.

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