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STOP Taking The Wrong Vitamins! - It's Best To Test, Before You Buy..Vitamins!

   
NEW CLIENT - INITIAL ASSESSMENT
INSTRUCTION WEBPAGE - D
"Questionnaires"
Steps 7 - 12



ARTICLE  -  Read To Complete Page 1 of "Client Information Form"  Below.....


Step 7

THERAPEUTIC SUPPLEMENT FINANCIAL PLAN - Rabbit ♦ Squirrel ♦ Turtle
(14-Page Article)


  • Please read this article to select your Financial Plan.
  • Then mark your choice where indicated at the bottom of page 1 of 'Client information Form" (Step 8).
  • If pressed for time and Lab Kits/Blood Requisition have arrived, you may proceed to Steps 8 -18 after specimen samples have been mailed to Labs and/or Blood Drawn.

Document
ARTICLE

HEALTH & SYMPTOMS HISTORY QUESTIONNAIRES

  
(Open, Type, Print) under title of any form or questionnaire means you can type your information directly into the document before printing   However, you cannot save your information, so please print before closing document.   In due time, all questionnaire and form documents will be revised in this manner.  Print two copies of any document to be U.S. mailed to our office.  Print one copy if faxing or scanning to email.  By printing two copies, you have one for your records for future reference, when needed.

.
PLEASE NOTE:
Steps 8 & 9 are Health History and Personal Information Questionnaires



Step 8

CLIENT INFORMATION FORM (6-Pages)



Document
CIF FORM


Step 9

HEALTH HISTORY FORM (4-Pages)

Document
HH FORM
..
PLEASE NOTE:
Step 10-A is an Comprehensive Over-All Body Symptom History Questionnaire and
Step 10-B is an Osteoporosis Risk Symptom Questionnaire.



.
Step 10-A

HEALTH APPRAISAL COMPREHENSIVE (HAC) QUESTIONNAIRE (6-Pages)

Document
HAC FORM


Step 10-B

OSTEOPOROSIS FRACTURE RISK ASSESSMENT QUESTIONNAIRE (2 Pages)

Document
OSTEO RISK
.

PLEASE NOTE:
Steps 11-A, 11-B, & 11-C are Stress Assessment Questionnaies




Step 11-A

STRESS ASSESS (1 Page)

Document
STRESS ASSESS


Step 11-B

ADRENAL FATIGUE QUICK CHECK (1 Page)

Document
ADRENAL FATIGUE


Step 11-C

HYPOTHYROID QUICK CHECK (1 Page)

Document
HYPO THYROID
.

PLEASE NOTE:
Step 12 is an External Assessment of Scars & Other Trauma and Their Potential Adverse Effects Internally.




Step 12
  
SCAR/TRAUMA CHART (1-Page)
(Open, Type, Print)


Document
SCAR CHART

Have You Completed All Steps Above?
Yes?  Then Click Here To Go to Webpage E



Disclaimer/Copyright

Information provided in this website is for nutritional educational purposes only and not for the diagnosis, or treatment of any medical condition, disorder or disease.
Copyright 2004  Dr. Donna F. Smith  --  Last Website Update:  JUNE 08, 2018  06:06 PM CST

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