Patient Information

Fill out the following questionnaire and fax to (208)906-8679 or modify it and email it to me @ amymcdougal@hotmail.com

patient questionnaire

*disclaimer: RESULTS MAY VARY DEPENDING UPON STARTING POINT, GOALS, AND EFFORT.
THE STATEMENTS ON THIS SITE HAVE NOT BEEN EVALUATED BY THE FDA.
THE INFORMATION ON THIS WEBSITE ARE NOT INTENDED TO DIAGNOSE, TREAT, CURE, OR PREVENT ANY DISEASE.

Provided by:  TetonSage 1066 N Yellowstone Highway, Rexburg, ID 83440

 

 

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