Nature's Restorative Health
Bring Your Life Back to a Healthy Balance
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888 W. Sam Houston Pkwy, S
Suite 230
Houston, TX 77042
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Tel: 713.551.6275
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"Tolle Causam" ~ Seek the cause
Intake Forms & Instructions
Virtual consultation available for Wellness consultations.
All New Patients: Please complete the necessary forms below.
1. Save with your name, e.g., Jane Smith, then email it to drnrh@protonmail.com
or print the completed form and scan and email the completed form 48 hrs. before your appointment.
​2. Send us copies of any lab work you have had within the last 6 months and a list of medications or supplements you are currently taking.
​3. Keep a diet diary for 2 days before your scheduled appointment.
4. If you are not able to complete the forms, please let us know 2 days before your appointment.
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5. Virtual consultations for Bioenergetic Assessments. We use biological samples (hair or nail clippings).
***Please notify the office that you would like a virtual consultation before sending samples. *** ***
Complete the intake forms, send your biological sample, and arrange payment.
We will do your scans and schedule your virtual appointment.
Reports will be sent to you at least 24 hours before your scheduled appointment.
During your consultation, we will review your health history, review the results with you, answer your questions, and discuss with you a program to address your concerns.
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