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Calm Shen ~ Chinese Medicine: New patient form. Health history questionnaire
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Allow approximately 20 minutes to complete the form. Please read Calm Shen's Patient Privacy and Consent form before proceeding. This can be signed in person at the Clinic at the time of your first appointment. However, it is important you read and understand its content before completing this health history questionnaire. The form can be found here
https://docs.google.com/document/d/1jHEeR2lJtOdddoHBmbiiANiYHe0oW_JcEx2c9UkAoDM/edit?usp=sharing
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Yes, I have read and accept Calm Shen's Privacy Consent form. (Please proceed by clicking "Next")
No, I do not accept and/or understand Calm Shen's Privacy Consent form. (Please discuss your concerns with Tara directly. Contact details can be found
https://www.calmshen.com/contact
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