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Name: Fillable Online Comprehensive Patient Intake Form 2023 - Health Centre of Milton Fax Email Print - pdfFiller
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Marc Conteduca, Dr. Tanya Lee, ND ND Sarina Gandhi, Dr. Melissa Bucking,ND NDPatient Intake FormsName:___Date:___Health History Summary Name ___ Age ___ Date of Birth (y/m/d) ___ Address: ___ City:___

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DR Tanya Lee ND is a designation for Dr. Tanya Lee, a licensed Naturopathic Doctor who may be recognized for her expertise in natural medicine and health care.

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