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OLD COUNTRY WELLNESS

Natural healing with homeopathy and nutrition

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Client Health Evaluation

Health History Form

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Liability Disclaimer

Daiva Rizvi is not a physician or psychologist, and the scope of her consultation services does not include treatment or diagnosis of specific illnesses or disorders. If you, the client, suspect you may have an ailment or illness that may require medical attention, then you are encouraged to consult with a licensed physician without delay.

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