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Initial Office Visit Forms

Informed Consent

Health History

Pain History

Other Forms

EEM Five Minute Daily Routine

EEM for Vertigo & Nausea

Food Energetics: Dampness

Food Symptom Chart

Dr. Niemtzow's Diet

Estrogen Balancing Diet

Office Forms - Marion Bergan in Berkshire, Dalton, Pittsfield, Lenox, Windsor

Contact:
518.229.8188

 

Located on the 2nd Floor:

Office Forms - Marion Bergan in Berkshire, Dalton, Pittsfield, Lenox, Windsor

63 Flansburg Ave
Suite 261
Dalton, MA 01226

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