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Diane Culik MD

Virtual Holistic Medicine   

Simple Steps to Better Health

 

 

 

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New Patients Must Print and Complete These Forms

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(Please Print the Demographic, Telemedicine Consent, and the New Patient History Form and Medical Release forms and Complete)
Then FAX to 888-480-3870 or
email to drculik@gmail.com

Please Complete either of These Below if:

1. You Have Medicare

or

2. You Need more space for Supplements

Learn More From Diane Culik MD

Check out Dr. Culik's online books on Amazon including information on:

 

Natural Thyroid, Adrenal Health, Bio-Identical Hormones, Weight Loss,

Acid Reflux, How to Live to 100, Gut and Gum Health and More.

 

 

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CONTACT:  ABC Wellness-Holistic Medicine

​​​​​​​​​​​​​​​​​Toll Free:  855-669-9355

Contact  www.drculik.com 

or email  drculik@gmail.com

www.abc-wellness.com

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