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If you are interested in having this health questionnaire assessed by one our doctors, please fill out the following form. Upon completion, print the results by clicking on the "Print Page" link on the bottom of the page. Then mail the pages of the questionnaire, and include a check or credit card information (credit card number, expiration date, and billing address) for $80.00 to Country Health Store at P.O. Box 367 in Aberdeen, Idaho 83210. You may also call (208-397-4156) with your credit card information if you would like. Once we receive your questionnaire, one of the doctors will analyze it and we will mail you back a suggested nutritional supplemental program. If you are interested in knowing what nutritional supplements may be beneficial for your health related problems, please see our Signs and Symptoms page to see if your condition is listed.
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