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Client Forms

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Health Declaration

REQUIRED FOR ALL HEALTH SERVICES & PENDULUM_PRO

Have you been hospitalized in the last 12 months?
Do you have any medical condition, illness, or injury?
Upload File
Upload supported file (Max 15MB)
Upload File
Upload supported file (Max 15MB)
Upload File
Upload supported file (Max 15MB)
Upload File
Upload supported file (Max 15MB)
Upload File
Upload supported file (Max 15MB)

Thanks for submitting!

HEATH & WEIGHT LOSS CLIENT FORMS

REQUIRED PRIOR TO ALL HEALTH SERVICES

Please click the link(s) below to download and complete the consent form(s) for your plan.

You may upload the signed forms to the drop-box(es) at the bottom of the Health Declaration or email the forms by clicking the link below. 

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©2020 by Stronger with... Dr. Elizabeth Donathan, LLC.

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