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Patient Name Please Print Signature of Patient or Guardian Naturopathic Doctor PRIVACY POLICY FORM Privacy of your personal information is an important part of your experience with Rachel Bell providing you with high quality naturopathic care. My privacy protocols comply with privacy legislation and standards of our regulatory body the College of Naturopaths of Ontario. 7-2016 Tenth Line Rd. Orl ans ON K4A 4X4 613 837-9777 www. ndfreedom.ca Paediatric Intake Form Patient Information Today s...

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