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CLIENT INFORMATION QUESTIONNAIRE PHARMACY Name: ___Balance Date://Address: ___Phone: ___ Home: ______Cellphone: ______ Postcode___Email: ___To ensure we have your correct contact details, please advise

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Integrative cancer care is a patient-centered, evidence-informed approach that makes use of conventional and complementary therapies to address the whole person.

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Healthcare providers and facilities offering integrative cancer care are required to file the necessary documentation.

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Information such as patient demographics, treatment modalities, and treatment outcomes must be reported on integrative cancer care forms.

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