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Family History
Personal History
At What Age Did You Start
Vaccination & Inocculations
Appetite & Thirst
Stool
Urination & Urine
Sweat / Perspiration - Fever - Chill
Sleep
Sweat / Perspiration - Fever - Chill
Mind
It is now universally acknowledged that your mind has tremendous influence on your body. For giving proper treatment it is absolutely necessary for us to understand your emotional and intellectual nature. We can thus treat you as a whole. In order to understand you we will be asking certain questions. Answer them freely, carefully and completely. This information will help us much in giving you the correct remedy. Also such a remedy will help improve your mental make up. Answer freely. Answer frankly. Answer completely.
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