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This 4-page intake form allows clinicians to gather important information related to the psychosocial, quality of life, and anxiety impacts your adult food allergic patients are experiencing.
Plus, this and The FAC's other intake forms can be customized by adding your practice's logo and information in the document's heading section!
Food Allergy Psychosocial Intake Form - for Adults
$25.00Price
File Format
Editable Microsoft Word Document
Licensing
Professional
Suggested Use
Have patients complete this as part of the intake process
Benefits of Use
Provides detailed narrative insights into how patients navigate allergy life
