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Candace Harm, Naturopathic DoctorWomans Wellness Visit Health QuestionnairePERSONAL Informational: ___ Today's Date: ___Date of Birth:___(d/m/y) Age:___ Gender: Nonbinary/Other AB health care #: ___Home Address:___ ___City: ___ Prov: ___ Postal Code:___Phone (home):___ Phone (work):___ Phone (cell):___Email Address: ___ Occupation: ___full time
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Individuals participating in a health assessment or screening program.
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Employers conducting employee wellness programs.
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The wwv-health questionnaire document is a form used for collecting health-related information, typically required for assessments or evaluations in various settings.
Individuals who are undergoing health evaluations, assessments for insurance, or participating in specific health programs may be required to file the wwv-health questionnaire document.
To fill out the wwv-health questionnaire document, provide accurate personal information, respond to health-related questions honestly, and ensure all sections of the document are completed.
The purpose of the wwv-health questionnaire document is to gather essential health information to assess an individual's health status, risks, and necessary interventions.
Information that must be reported on the wwv-health questionnaire includes personal health history, current health status, medications, allergies, and any relevant family medical history.
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