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1 Dr. Katharine Hole GENERAL INFORMATION Name Age Birthdate MAP # Address) City Province Parent/Guardians (list relation) Phone Number (home) (work) Email Guardian/Parents Occupation(s) Emergency
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Fill in the child's personal information such as name, date of birth, and gender.
04
Provide the child's contact details including phone number and email address.
05
Answer the questions regarding the child's medical history, allergies, and current medications.
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Parents or guardians of children who are seeking naturopathic healthcare services from achievehealth are required to fill out the form-naturopath-patientintake-childdoc.
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This form is necessary for the initial assessment of the child's health condition and helps the naturopath understand the child's medical history, current symptoms, and any allergies or medications that need to be considered during treatment.
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By filling out this form, parents/guardians can provide detailed information about their child's health and assist the naturopath in creating a personalized treatment plan based on the child's specific needs.
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Form-naturopath-patientintake-childdoc - achievehealth is a document used by naturopathic practitioners to gather information about child patients during intake.
Naturopathic practitioners who treat child patients are required to file form-naturopath-patientintake-childdoc - achievehealth.
Form-naturopath-patientintake-childdoc - achievehealth can be filled out by entering information about the child patient's medical history, current symptoms, and any allergies or medications.
The purpose of form-naturopath-patientintake-childdoc - achievehealth is to gather necessary information about child patients to provide appropriate naturopathic care.
Information such as the child patient's medical history, current symptoms, allergies, medications, and any existing health conditions must be reported on form-naturopath-patientintake-childdoc - achievehealth.
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