Healing To The Core


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Healing to the Core- Forms

Getting Started Forms

Consent Form (Practitioner/Client Clarification Form)

Consent form signed by Client/Patient authorizing Michele A. Burris, RD, CMTA, CLT, FDN to administer counseling, advice and support.

Permission for Doctor to Release Medical Information
(Client/Patient Information Release/Authorization Form)

Consent form signed by Client/Patient authorizing their Practitioner to disclose/release medical information

Health & Diet History Form

Form presenting your health history for evaluation by Michele A. Burris, RD, CMTA, CLT, FDN

   




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