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Pediatric/Youth Naturopathic Intake Form Dr. Kelly UpcottSiebert B.Sc. N.D. Origins Naturopathic Retreat, 1211 County Rd 20, Hinesville 2267742106 Lifetime Wellness Center, 4013090 Doug all Ave, Windsor
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The pediatric/youth naturopathic intake form is a document used to gather information about a young patient's medical history, lifestyle, and current health concerns in order to provide holistic care.
Parents or legal guardians of pediatric or youth patients are required to fill out the naturopathic intake form on behalf of the child.
The form can be filled out either online or in person at the naturopathic clinic. Parents or legal guardians will need to provide detailed information about the child's medical history and current health status.
The purpose of the intake form is to help naturopathic doctors understand the child's health needs, develop a customized treatment plan, and monitor progress over time.
Information requested on the form may include the child's medical history, current symptoms, dietary habits, lifestyle factors, and any medications or supplements being taken.
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