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Patient Treatment Notes; Intravenous Therapy
Patient Treatment Notes; Intravenous
Patient Treatment Notes; Intravenous Therapy
1. Please record time and date of appointment *
*
2. Clinician Name
*
3. Three Points of Identification (verbal confirmation from patient required)
*
Name
Date of Birth
Address
4. Please ensure the client has completed the 'Medical Questionnaire' & 'Consent'; this prerequisite must be fulfilled prior to the initiation of any treatment. *
*
Yes
5. Why has the patient requested the therapy today?
*
Anit-Ageing
Antioxidant
Detox
Low in Energy
Lethargic
Tired
Hair Health
For Hydration
Immune boost
Iron Deficiency
Muscle Therapy
Brain Fog
Skin issues
Other
6. If 'Other' Please specify;
7. What Treatment has been recommended?
*
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