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Forms for the first consultation

Patient form I: Personal data (PDF)
Patient form II: Illness record (PDF)

These forms can be downloaded, filled out and saved on your computer, and emailed with a click. Alternatively, you can also print them, fill them out by hand and send them by post.

Address

Dr. sc. nat. Bourqui Classical Homeopathy
Ch. Des Abeilles 4
1273 Arzier-le-Muids

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