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HEALTH HISTORY FORMS

Please select the appropriate form, fill out and send back to me. After submitting the form, I will get in contact with you as soon as possible to discuss the next steps. 

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Women's Health History Form

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Men's Health
History Form

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Children's Health

History Form

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Revisit

Form

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Zurich, Switzerland

info@mindfuljourney.ch

+41 76 671 66 88

2025© MINDFUL JOURNEY

Disclaimer: Mindful Journey or Michaela Tschudi do not claim to be medical practitioners. We do not diagnose, treat or prescribe any medical treatment or advice. Before starting any diet or supplementation program you are encouraged to make your own health care decisions based upon your research and in partnership with a qualified health care professional.We do not advise you use the information contained within this website, or any other site for treating a health problem or disease or to make a self-diagnosis, without first talking to your doctor. All information, content and product descriptions contained within this page are for reference purposes only and are not intended to substitute advice given by a pharmacist, physician, or other licensed health-care professional. COPYRIGHT © 2025 MINDFUL JOURNEY - ALL RIGHTS RESERVED
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