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RAISING SAGES INTEGRATIVE PEDIATRICS REFUSAL TO VACCINATE FORM Child's Name and DOB: Parents Name (Printed clearly): My children physician(s) and/or staff have discussed the recommendations of the
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Raising Sages Integrative Pediatrics focuses on holistic healthcare for children, combining traditional and alternative medicine.
Healthcare providers specializing in integrative pediatrics are required to file Raising Sages Integrative Pediatrics.
The form should be completed with accurate information about the healthcare provider's practice and integrative treatment approach.
The purpose of Raising Sages Integrative Pediatrics is to ensure that healthcare providers are following best practices in integrative medicine for children.
The form must include details about the provider's education, certifications, treatment modalities used, and patient outcomes.
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