Kartini Clinic
for Disordered Eating
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Kartini Clinic Forms
Submitted by admin on August 7, 2009 - 1:45pm
Meal Plans:
Food Journal 12-08-08.pdf
Patient Forms:
1 New Patient Checklist 6-25-09.pdf
2 Cancellation policy 6-25-09.pdf
3 Patient Info Sheet 8-12-09.pdf
4 ROI - Authorization 10-7-09.pdf
5 Kartini Agreement 9-11-09.pdf
6 Family Therapy info 6-25-09.pdf
7 Acknowledgment and Consent 9-11-09.pdf
8 Family Hx Questionnaire 10-08-09.pdf
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"Almost one year later and our daughter is doing great! She seems to have almost no issues around food...Our vigilance never ceases...
"Ruth"
New York City, NY
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