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Email: dragonslifesystems×yahoo.com Website: www.dragonslife.comPATIENT REGISTRATION FORM Master Shingle Nontraditional CHINESE THERAPIESPATIENT INFORMATION Name:Date:Address: City: Sex:State: M
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DLS traditional Chinese therapies include acupuncture, herbal medicine, cupping therapy, and tai chi.
Individuals who provide or receive traditional Chinese therapies are required to file DLS forms.
DLS forms can be filled out online or submitted in person at the designated office. The form requires basic information about the therapist, patient, and type of therapy provided.
The purpose of DLS traditional Chinese formrapies is to track the usage and effectiveness of traditional Chinese therapies in the community.
Information such as therapist's name, license number, patient's name, date of therapy, type of therapy, and any adverse reactions must be reported on DLS forms.
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