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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

Spirulina Enema Directions PDF

Teeth Meridian Chart

Teeth Chart.pdf

(PDF — 663 KB)

Teeth Meridian Chart

MEAD and BIA Directions

Healthy Teeth Protocol

healthy teeth.pdf

(PDF — 115 KB)

Metagenics First Line

Therapy Menu Plan PDF

Apex Child

Neurotransmitter &

Nutrition Questionnaire


Apex Health

Questionnaire (NTAF)


Apex Metabolic

Assessment Form PDF

Helpful Blood Tests

Helpfull Blood Tests.pdf

(PDF — 200 KB)

How to read your

blood test for

Thyroid Markers

707 & 711 Rt. 113

County Line Plaza

Souderton, PA 18964

For Appointments QHC II 215-721-8828

Store Phone: 215-721-0577

QHC Fax: 215-721-8836

Store Fax: 215-721-9853

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