Queen's Health Center
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Premier Wellness Place for the Whole Family
Queen's Health Center Client Consent Forms &
Educational Forms
Please note all forms and applications are in PDF format, hence it is necessary to print them out and fax them to QHC II prior to your appointment or bring them with you if you are coming to the appointment in person.
Fax #: 215-721-8836
Gallbladder & Liver Flush PDF.
Below is a picture of possible objects you may eliminate after you do a Gallbladder Liver (GBL) flush.
Coffee Enema Directions PDF
(PDF — 98 KB)
Spirulina Enema Directions PDF
Teeth Meridian Chart
Teeth Chart.pdf
(PDF — 663 KB)
Teeth Meridian Chart
Thyroid Questionaire 7 6 2011.pdf
(PDF — 66 KB)
MEAD and BIA Directions
MEAD and BIA directions.doc.pdf
(PDF — 81 KB)
Healthy Teeth Protocol
(PDF — 115 KB)
Metagenics First Line
Therapy Menu Plan PDF
(PDF — 36 KB)
Apex Child
Neurotransmitter &
Nutrition Questionnaire
(CNNQ) PDF
Apex Health
Questionnaire (NTAF)
PDF
Apex Metabolic
Assessment Form PDF
Helpful Blood Tests
(PDF — 200 KB)
How to read your
blood test for
Thyroid Markers
707 & 711 Rt. 113
County Line Plaza
Souderton, PA 18964
QHC Fax: 215-721-8836
Store Fax: 215-721-9853