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| Gary Derby, D.C., M.S. | |
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-Graduate, Palmer College of Chiropractic, 1981 -Master's Degree in Health Education, Truman State University, 1975 -Post-graduate training in Orthopedic Rehabilitation, Clinical Nutrition, Lower Level Laser Therapy (LLLT), and Contact Reflex Analysis (CRA) -30 years experience in Clinical Nutrition -Studied 5 years under Dr. John P. Dolan, author of The Care and Prevention of Athletic Injuries -Consultant for 3 years for health and fitness to 26 school districts |
| Paperwork | |
| General Patient Information (for anyone 13+ yrs old) | |
| Pediatric General Information (for anyone 0-12 yrs old) | |
| Systems Survey Form | |
| Are Your Health Problems Yeast Related | |
| Consent to Treat Minor Child (for anyone under 18 yrs old) | |
| Instructions for paperwork: |
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