New Client Forms — Poe Holistic Health

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Holistic health Consultation

Release of Liability Form

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Holistic health assessment

New Client Form

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Holistic Health Assessment

Advanced Form (Women)

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Holistic Health Assessment

Advanced Form (Men)

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referral form

Practitioner use only

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I am a Holistic Health Consultant and Naprapathic Body Work Therapist (NOT a licensed medical physician, naturopathic doctor, psychologist, sex therapist, mental health provider, chiropractor, physical therapist or massage therapist). I hold a PhD in alternative medicine and a doctorate in Naprapathy. I am committed to do what is in the best interest of my clients, and use my knowledge and training to help any way I can. I live by the Hippocratic oath “Primum non nocere” which means “first, do no harm,” and always recommend my clients discuss any conditions, questions, treatments, or products with their licensed medical doctor. I will never take the place of standard medical care, or diagnose and treat disease.

The informaton provided is consultative and educational in nature.  It does not replace a one-on-one relationship with a licensed medical doctor.