Chatham Location

Shawna Bradshaw, B.A; D.S.Hom.Med, Homeopathic Physician

55 Madera Crescent
Chatham, Ontario
N7M 5Z6

phone: 519-397-1993

Homeopathy is an individualized process of prescribing a remedy. The remedy prescribed is suited to you and only you. In order to help find the best suited remedy I need you to complete this form.

Please fill it out as accurately and in depth as you can. This will help me in completing an accurate picture and thus make our time together effective. Once completed, please bring this form with you to our first consultation.

If there are any questions or concerns please feel free to contact me. Please also be aware that all information discussed is kept in strictest of confidence according to the laws of the Homeopath – patient confidentiality. Although there is a strict code of confidentiality, I am obligated by law to
report any suspicion of child abuse.

 

 

Chatham Consultation Form: Adult - Click here
Chatham Consultation Form: Child - Click here

 

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