Health History Questionnaires

Please download appropriate form(s), fill out and return to Cheryl Matschek in one of these ways:

Child Health History

Female Health History

Male Health History


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The Cheryl Matschek Company, Inc.
PO Box 1781
North Plains, Oregon 97133
503-647-5754
cheryl@matschek.com
cheryl.matschek.com

Disclaimer: The information included in this website is for information only and is not intended nor suited to be a replacement or substitute for professional medical treatment or for professional medical advice relative to a specific medical question or condition. We urge you to always seek the advice of your physician or medical professional with respect to your medical condition or questions. As a recipient of information from this website, you are not establishing a doctor/patient relationship with any health care provider.