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KLC Brief Medical History (to be completed by client on intake)Date: ___ Name: ___DOB: ___Completed by: Client (listed above) Other: ___ Do you currently experience swelling/lymphedema? (Please circle
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How to fill out wwwinterlakelymphcliniccawp-contentuploadsilc client intake form
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The www.interlakelymphclinic.ca client intake form is necessary for new clients or individuals seeking treatment or consultation at Interlake Lymph Clinic. This form helps the clinic gather important information about the client's medical history, lymphatic conditions, and specific concerns. By filling out the client intake form, individuals can provide relevant information to the clinic, enabling them to assess and provide appropriate treatment recommendations.
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The wwwinterlakelymphcliniccawp-contentuploadsilc client intake form is a document used by the Interlake Lymph Clinic to gather essential information from new clients for the purpose of assessing their needs and facilitating their treatment.
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The information that must be reported on the wwwinterlakelymphcliniccawp-contentuploadsilc client intake form includes personal identification details, contact information, medical history, and specific concerns related to lymphatic health.
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