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HOMEOPATHIC ONLINE MEDICAL SERVICES - Returning Patients

It's important to always follow up after a homeopathic consultation. Please take notes, preferably on a calendar, so you can see the daily changes. Please, fill in the form below and then call me back within 2-3 weeks to let me know your progress, and as to whether the remedy needs any change.
Full Name:
Date of Birth (mm/dd/yyyy):
E-mail:
Phone Number:
Address:
Apt.:
City:
State/Province:
Zip/Postal code:
Country:
Best time to contact you:

What are the changes you are noting? New symptoms? Anything else you want me to know?




    

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