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The following files can be downloaded and printed 


Please fill out, sign, and print 
the New Patient Intake Form below, and bring it with you on your first appointment
Here is a Basal Body Temperature 
chart to help you keep track of your cycle, including when and if ovulation is occurring.
Stress and foods have a tendency to make your body more acidic. Acidity creates inflammation. Eating more alkaline foods will help your pH balance.
New patient intake form
File Size: 87 kb
File Type: pdf
Download File

Basal Temperature Chart
File Size: 45 kb
File Type: pdf
Download File

Acid-Alkaline Food Chart
File Size: 141 kb
File Type: pdf
Download File

Clara Cohen, Registered Acupuncturist & owner at Healing Cedar Wellness
8-3130 St Johns Street, Port Moody, BC V3H 5E3 ~ Tel: 604.469.1616 ~ Fax: 604.469.1617 ~
Email: info@claracohen.com      Copyright © 2012 All Rights Reserved
Acupuncture Port Moody | Fertility | Coquitlam Acupuncture | Acupuncturist | IVF
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