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Acute Questionnaire

ACUTE CARE Form For the ACUTE CARE program, you only need to fill out the following form and send it to homeopathyforwomen @ gmail.com by copy-pasting the whole text. Then I'll call you to meet on Zoom or to ask for more details.  Acute care is for 7 days. Price has to be paid in advance: 350₪ (= 100$ -  50$ before and 50$ at the time of the meeting ) via this payment platform (Nedarim 100% safe).  Price doesn't include the remedy. See below for examples of acute care issues. It has to be less than 30 days old, otherwise you need to get the Chronic Care program.  --------------------             ----------------------        ----------------------     ---------------------     ------------------- Name of the client (first and last): Date of birth: Email: Address: Phone: Best time to call you: 1. What is your main complain? Choose only one. You can choose from the list below or add your own: Tooth pain,  colic,  earaches, otitis media,  asthma,  cough or croup, coryza (common