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Dr. Nadine Hours, ND 401 Bay Street, Suite 1210 Toronto, Ontario M5H 2Y4 tel 416.366.1710 fax 416.366.1712PLEASE COMPLETE THIS INTAKE FORM BEFORE YOUR VISIT Name:Initial:Date of Birth:Last Name: (D/M/Y)Date:
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Formclinic-adult intake-combined forms doc is a comprehensive form that combines various intake forms for adult patients at the clinic.
All adult patients visiting the clinic are required to fill out and file formclinic-adult intake-combined forms doc.
To fill out formclinic-adult intake-combined forms doc, patients need to provide accurate information about their medical history, current health status, and any specific concerns or conditions.
The purpose of formclinic-adult intake-combined forms doc is to gather necessary information for the healthcare provider to assess and treat the patient effectively.
Information such as personal details, medical history, medications, allergies, and emergency contacts must be reported on formclinic-adult intake-combined forms doc.
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