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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 to me. Alternatively, you can also print them and fill them out by hand.

Address

Classical Homeopathy Bourqui
Rue du Perron 10
1296 Coppet
022 565 30 13

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