Exam Forms I Use

Every year my exams seem to get longer because there are so many different ways you can evaluate the body. Health is just one big jig-saw puzzle. The more pieces one has, clearer our  ideas become on how to help you heal. My forms are listed for you to see. I may not use all of them during the consultation, but if you feel guided to use one of them, let me know and I'll work it in.  

The following form is to be filled out and emailed to me prior to the exam:

Consent Form     

I don't use all these forms with every exam, but here are the forms I use on a regular basis:

Release Form As of July 1, 2005, naturopaths in the state of Idaho have been licensed. It is our job to tell you what we do and don't do, so the Naturopathic Association constructed this form. I think that it is confusing, but it's what I have to fill out to practice. What it means is that I can't write out prescriptions for "real drugs," do surgery, or deliver babies for humans only (I can do that for animals with my veterinary license.)

What I do explains how I work and perform an exam.

Intake form is for your contact info and basics.

To Do List. This is the form I put on top of all the other supporting paperwork. It is the form you'll want to look at for your daily supplements and exercises.

Concerns and History: Every piece of the puzzle we can put together will help me help you live a healthier life.

Energetic Reading: This is where muscle-testing comes in. It includes extensive lists of every body part you have. We test which parts are not functioning correctly energetically-wise and focus on them for the current treatment recommendations.

Affirmations: Some people need affirmations. This is usually a paragraph that is said out loud several times a day for 30 days and is used to shift the nervous system. I construct it with the help of your own Guides.

Power Foods: These are foods that your body loves and you will do well on to incorporate permanently into your diet.

Allergies: This is a list of the types of allergies I test you for.

Core Causes: Funny, but the core causes of a disease don't always match up with what we learned about in veterinary school. For example, the core cause of arthritis can have core causes of emotions, allergies, heavy metal toxicity, mineral imbalances and kidney disease.  This is just a list I use to ask your body what the core causes of your condition are. Some core causes don't want to be treated until other conditions have been balanced. This is one way for me to see how you are progressing.

DMTEC: Dr. Moffat's Technique on Emotional Clearing.

Shoe Wear: Sometimes I can tell which organs are overused and underused by looking at your shoes. Weird, but it's just another piece to that puzzle I can add in and think about.

Fingernail Analysis: White spots, lunulae, color, ridges, and other abnormalities are often the first sign of oncoming challenges. Also, each finger indicates the health of particular body parts. I'll take any clues I can collect in putting the puzzle of health together for you!

Treatments: I use this chart to test which treatments would vibrate, and therefore be the best treatments, for your body.

Nutritional Evaluation: This is a biggie. I test your body and its needs for vitamins, minerals, antioxidants, oils, and amino acids. These are lists of all that I test for and some best bet foods to accomplish correction of deficiencies (in case you don't want an exam).

Shopping List:  So many people have asked me to write down the things they need to purchase from the store, a local health food store, a bookstore, or wherever they need to get their supplements necessary to continue their healing that I finally made up a Shopping List to send home with them.

These lists are from my "Book of Lists" that I test from for each exam:

List of Amino Acids

List of Antioxidants

List of Affirmations

List of Animals for Common Allergies

List of Anti-caking Agents

List of Antidepressants (Sometimes I test which one would work best)

List of Beans/Legumes

List of Beverages

List of Breads/Muffins

List of Bulbs

List of Cereals

List of Chakras

List of Chemical Preservatives

List of Condiments

List of Contact Allergies

List of Cosmetics

List of Countries for World Atlas (for Past Life Issues)

List of Crystals

List of Dairy/Eggs

List of Emulsifying Agents

List of Extracts

List of Flower Essences

List of Flowers

List of Food Additives

List of Food Dyes

List of Fruits

List of General Purpose Food Additives

List of Grains/Pastas

List of Grasses

List of Hair Products

List of Herbal Teas

List of High Blood Pressure Medications

List of Juices/Fluids

List of Meat/Poultry

List of Minerals

List of Miscellaneous Disturbances in the Body

List of Nutrients and/or Dietary Supplements

List of Nuts/Seeds

List of Oils/Fats

List of Other Green Plants

List of Pacific Northwest Trees

List of Pathogenic Molds/Mildews

List of Phobias

List of Seafood

List of Seasonings and Misc.

List of Sequestrants

List of Shrubs

List of Spices

List of Spiritual Lessons

List of Sports

List of Stabilizers

List of Synthetic Flavoring Substances and Adjuvants

List of Toxins

List of Vegetables

List of Vitamins

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© 2008 by Dr. Denice M. Moffat

For educational use only. Permission to make copies by you for you and your friends is granted. If you find this site to be of value, a donation of any kind or amount (including making an appointment, a referral, sending money or prayer) would be greatly appreciated. I believe we need to support those things that nourish us in any way if we'd like to see them around in the future! You are encouraged to consult a knowledgeable practitioner before utilizing any of the information in this site. Enjoy.

Contact Us:

	Dr. Denice Moffat
	PO Box 9151
	Moscow, ID 83843  U.S.A
	(208) 882-3993 Pacific time 9am to 6pm PST
	drmoffat@naturalhealthtechniques.com

 

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Page Last Edited 04/14/08