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Naturopathic Wellness Center (NFC) @ Integrative Medical Clinic 175 Concourse Boulevard Santa Rosa, CA 95403 Phone 7072849200 Fax 7072849204& the!! Comprehensive Patient Health History Questionnaire

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It is a form that must be filed by individuals who have stayed at Integrative Natural Medical Center.

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The purpose of this form is to collect information about the individuals who have stayed at Integrative Natural Medical Center.

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The form may require information such as name, date of stay, reason for visit, and contact information of the individual.

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