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Clinic Registration & Consent

Sex Required
Do you suffer or have suffered from any of the following conditions? Required
Do you have allergies?
I am a
We strongly advise that you inform your other healthcare providers (e.g., GP, Specialist Doctors) of the homeopathic treatments you are receiving from Faith Homoeopathic Clinic. You are also required to inform us of all medications, supplements, or treatments you are currently receiving from any other doctors or practitioners.
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