Hazel Dell Natural Health Clinic           -
PatientIntakeForm.docx (DOCX — 29 KB)
 
 
 
 
PatientIntakeForm.doc (DOC — 58 KB)
 
 
Click on the link to download the form--you can either fill it out and bring it with you or email to me at:
 
 
 
 
 
 
 
 
 
 
Echinacea augustifolium (Purple coneflower): used to build immunity
 
 
 
 
 
 
 
 
 
 
 
 
 
Rosemarinus officinalis (Rosemary):  A stimulant used to raise low blood pressure
 
 
 
 
 
 
 
 
 
 
Usnea barbata (Old Man's Beard): A natural antibiotic
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