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* 1. How physically healthy are you?

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* 2. Do you take nutritional supplements?

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* 3. Do you take other medications?

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* 4. Are you presently under a doctor or alternative practitioner's care?

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* 5. How important is exercise to you?

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* 6. What do you most often do for exercise?

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* 7. Would you like to comment on your diet?  (This question is optional)

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* 8.
Would you like to provide info on your wellness goals in order that Dr. Hale, AP may better assist you?  
(This question is optional and can also be addressed via a complimentary phone consultation, if you prefer).  
Providing some info here is always very helpful in helping Dr. Hale to better help you.

Also please note - We provide complementary wellness support protocols for different conditions
If you would like for Dr. Hale to provide you with a suggested protocol - please indicate

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* 9.
In order for us to complete your Wellness Client status, Please provide some basic contact info.  
This field is required.

Please Note: 
You are entitled as a Wellness Client to a complimentary 10 minute phone consultation.

Give us a call and if Dr. Hale, AP is available he would be happy to talk with you
(if he is busy then you can schedule a call back time) 

Our office number is 561-337-9435.
Our business hours are 10-5 M-F EST - After hrs please leave a message.  

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