Staff Application (Demo)

You're viewing a demo of this application (controls have been disabled; changes cannot be saved). Visit each stage (1 through 7) to get an idea of the fields that are required.

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Stage 3: Medical History

Disease History

  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  

Allergies

  
  
  
  

  

  

  

Immunizations

(for health record only - not required for admission)

  
  
  
  
  
  
  

Injuries

  
  
  
  
  

Operations

  
  
  
  
  
  
  
  
  
  
  
  

Harmful Substances

Have you partaken (or do you partake) of any of the following?

   
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Recreation




Biometric

Medications & Supplements

  
  

Visit Uchee Pines!

Contact

Uchee Pines Institute
30 Uchee Pines Road
Seale, Alabama 36875

Phone (U.S. only):
1-877-UCHEEPINES
(1-877-824-3374)

Phone (Worldwide):
1-334-855-4764

Motto

Uchee Pines is committed to assisting people through the use of simple, natural methods, using exercise, vegetarian nutrition, hydrotherapy, massage, the rational and judicious use of some herbs and supplements, and firm faith in the Divine Healer.

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“Get wisdom... get understanding.” (Proverbs 4:7)