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aofood.com
Request for Appointment with
Doug Polk, N.D., Health Minister
Confidential Health
Questionnaire
Authorization Form
You must have the Adobe Reader to access and
print these files. The Adobe Reader can be downloaded free from
Adobe.com. Click on "Get Adobe Reader", save to your desktop, then click
on the file to install. When the file is displayed on your screen, print it out,
complete it, scan it as a document and 1. email it to us, or
2.
mail it to
aofood.com
36 Fox Pond Cove
Jackson, TN 38305-9130
ddpolk@aofood.com
Voice 877-200-0862
Fax 901-339-3344
We will contact you for an appointment after we receive your returned documents.
Email us any questions you may have. Thank you for coming to us for health
information from a Biblical foundation.
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