MEDICAL HISTORY 1.pdf 268.32 KB 03.04.2009 15:24
Advanced Family Wellness, PS
1115 West Bay Dr NW, suite 202
Olympia, WA 98502
Phone: (360) 570-8010 /Fax: (360)570-8009
info@metabolicadvancedwellness.com
This site is neither secure nor private. If you are having an acute health crisis, please do not use this website. Call 911 or go to your local emergency department.
If you wish to establish care at our facility, please help us in gathering important information about your health concerns by PRINTING OUT and completeing the information below BEFORE your visit.
DO NOT TYPE YOUR INFORMATION HERE AS IT WILL NOT BE SAVED.
PATIENT MEDICAL HISTORY: PRINT THIS THEN WRITE YOUR RESPONSES
*Please excuse us while this site is under comstruction to bring you better appointment information. Please call the clinic at 360-570-8010 to schedule your appointment and have intake forms mailed to you. Thanks! Dr Natalie Kather, MD