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Health Questionnaire

Getting to Know You

Download the Health Questionnaire to tell me about your symptoms.

You should be able to find it in your Download File.

Fill it out the best you can and send it to me after scanning it or taking photos of the 2 sheets.

Send by text 519-498-6585 or by email

dragonflymedicinehouse@gmail.com

Health Questionnaire download
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Dragonfly Medicine House 

Academy of Holistic Health Sciences Canada

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Joanne Brophy CH, CNC, CCHT 

635 Havelock Street, Box 807

Lucknow, Ontario, Canada  N0G 2H0 

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Inquiries & Bookings done only by

519-498-6585  Phone/Text

DragonflyMedicineHouse@gmail.com

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© 2018 

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This content is for informational and educational purposes only. It is not intended to provide medical advice or to take the place of such advice or treatment from a personal physician. All readers/viewers of this content are advised to consult their doctors or qualified health professionals regarding specific health questions. Neither  nor the publisher of this content takes responsibility for possible health consequences of any person or persons reading or following Dragonfly Medicine House the information in this educational content. All viewers of this content, especially those taking prescription or over-the-counter medications, should consult their physicians before beginning any nutrition, supplement or lifestyle program.

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