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2901 W Busch Blvd, Suite 604 Tampa, FL 33618 www.dgoli.com / 8133797092 Intake Form Please print neatly and complete accurately, so we can fully serve you. Name: ___ Date of Birth: ___ Age:___ Address:
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What is wholistic ampamp natural health?
Wholistic and natural health focuses on treating the whole person, taking into account the physical, mental, emotional, and spiritual well-being.
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Anyone offering services related to wholistic and natural health may be required to file.
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To fill out wholistic and natural health forms, provide accurate information about the services offered and any certifications or qualifications.
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The purpose of wholistic and natural health is to promote overall well-being and treat the root cause of health issues.
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Information such as services offered, certifications, qualifications, and contact information may need to be reported.
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