The following is a list of intake forms used by SOCIM members in their respective practices.
Kathi Kemper, MD, MPH, FAAP
Winston-Salem, North Carolina
Updated June 2007
Lawrence Rosen, MD, FAAP
Hackensack University Medical Center, Hackensack, New Jersey
Updated June 2007
Sunita Vohra, MD, MPH, FAAP
Stollery Children's Hospital, Edmonton, Alberta
Updated June 2007
Anjanette Johnson, MEd
Integrative Medicine Clinic-Children's Hospital, Minneapolis, Minnesota
Updated April 2007
Michelle Bailey, MD, FAAP
Duke Integrative Medicine, Durham, North Carolina
Updated August 2007
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