Comprehensive Homeopathy Case History Form

Comprehensive Homeopathy Case History Form

Wave Healing

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Aligning mind, body, and spirit - one healing wave at a time. At Wave Healing, we believe true wellness flows like a wave - gentle, powerful, and continuous. We blend homeopathy, Ayurveda, and holistic therapies to create personalized healing journeys that restore balance, awaken vitality, and harmonize your inner and outer worlds.

Personal Information

Chief Complaints (Describe each in detail)

Main Problem 1
Main Problem 2 (Past Medical History)

Family History (Check all that apply)

General Physical Symptoms
Mental & Emotional State
Lifestyle & Habits
Thermal & Weather Sensitivities

Time Modalities

Symptoms worse/better at certain times:
Symptoms related to position

Additional Notes: