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Whitaker Wellness Institute Back To Health Program Patient InformationPlease complete these forms prior to your first appointment!(Please Print)MarriedSingleDivorcedWidowedSeparated18 yrs. Or youngerTodays
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Whitaker Wellness Institute is a medical clinic founded by Dr. Julian Whitaker that focuses on integrative medicine.
Any individual or entity who has received medical treatment or services from Whitaker Wellness Institute may be required to file.
To fill out Whitaker Wellness Institute, you will need to provide information about the medical treatment or services received, as well as personal information for identification purposes.
The purpose of Whitaker Wellness Institute is to provide integrative medical treatment and services to patients seeking alternative healthcare options.
Information such as the type of medical treatment received, dates of service, healthcare provider information, and any related medical expenses may need to be reported on Whitaker Wellness Institute.
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