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Patient's
Permission

 

Dear Prospective Patient.

Welcome to my Natural Healthcare Practice where my aim is to assist you to restore and manage your own health and well-being. In order to consult with you, I need your permission.

In the form below you may give me that permission.

Personal Particulars & Consent.
 

Please take a moment to fill out the form.

Thanks for submitting!

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​QHAGAMSHELANA NATHI

T: + 27 72 928 2724

info@thetraditionalclinic.com

​JOYINA ULUHLU LWETHU LOKUposa

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