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Patient Forms for Vaughan Integrative Medicine

CASP Preparation - Save1Heart Medical History Form
Current Medications List
Detox Support Materials
Elimination Diet Calendar
Elimination Diet Food and Symptom Diary
Health Update Form
Heavy Metals Questionnaire
Patient Information Form
Patient Medical History
Preparation for CaEDTA
Preparation for HMT
Preparation for Thermascan
Release of Information from Our Office
Transfer of Records to Our Office

All forms are in Adobe PDF format

To view and use forms in Adobe PDF format, you must have the Adobe Reader installed in your computer. The Reader is free. If you don't have the software, click the Adobe Reader logo (below) to download it.

With the Adobe Reader, you can view the forms, fill out the forms, and print the forms - but you may not be able to save the forms after you've filled them out. This is a restriction Adobe built into the Reader software. (If you have Adobe Acrobat, you can save the completed forms.)


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