Committee of the Whole Meeting Town of Richmond Hill March 25, 2013
|
|
- Mariah Hodge
- 5 years ago
- Views:
Transcription
1 Andrew Michrowski, PhD The Planetary Association for Clean Energy Société planétaire pour l'assainissement de l'énergie Ottawa Committee of the Whole Meeting Town of Richmond Hill March 25,
2 Observation Non-thermal effects of microwave emissions Exposure level DNA effects Single & double breaks, DNA electron flows, gene transcription 0.6W/kg, 0.001W/kg Blood-brain barrier Toxins reach brain tissues: serotonin, glucose 2min, W/kg Psychoactive Drugs Eye damage Behavioural changes Cognitive functions Sleep Melatonin Fundamental life processes Dose dependency Microwave syndrome Neurotransmitter functions modified: Pentobarbital - changes narcosis, entylenetetrazol - more convulsions, Curare - less anaesthesia, Valium/Librium - potentiated. More alcoholism, less morphine withdrawal Worsen effects Judgment errors, vision altered, hyperactivity, memory problems, more body nitric oxide production (SMART, LAN, Pads data) Faster reaction time, auditory memory retrieval, concentration difficulty, fuzzy thinking, dizziness (serotonin activity increase) More sleepiness, less REM sleep (worse memory, learning) Melatonin secretion decreases ELF in wireless imitate heartbeat, cell talk, brainwaves; less metabolism, sperm count, irreversible infertility in mice in 5 generations, 1/2X chick embryo mortality Korean War, US embassy in Moscow: cumulative effects Fatigue, irritability, nausea, anorexia, depression, cardiovascular disorders, hypo/hypertension, skin change & allergies, eczema, psoriasis, more lymphocytes, EEG effects, less insulin production, multiple allergies, Tinnitus, itches & heat in ear Watt/cm W/kg 0.02 to 8.0 Watt/cm 2 2
3 Meg Sears, Medical Perspective on Environmental Sensitivities, Canadian Human Rights Commission, 2007 Power in microwatt/cm 2 Observed result - from: Feet / 3 meters from a Wireless Computer Irreversible sterility in mice 0.2 to 8.0 Childhood leukemia near transmitters 0.3 Impaired motor function, memory & attention of school children 0 4 Altered white blood cell activity in schoolchildren 1.0 Headache, dizziness, irritability, fatigue, weakness, insomnia, chest pain, difficulty breathing, indigestion 2.5 Breakdown of blood-brain barrier (cell phone) 5.0 Leukemia, skin melanoma & bladder cancer near transmitter 2.0 Microwave hearing - clicking, buzzing, chirping, hissing, tones 5.0 Changes in liver, heart, kidney, and brain tissue 10.0 Damaged mitochondria, nucleus of cells in brain 10.0 Impaired memory & visual reaction near transmitters 3
4 Microwave tech emission levels (nice weather) Watt/cm 2 Cell user 9 3,500 Cell phones background, general population Microwave user 10 2,000 Cordless 2 to 6m 7-17 Analogue mast (including lightradio) urban setting) 5 25 Digital mast, urban setting ( 100m) Analog mast, rural 500m SMART Meter Local amplification: metallic elements roofing, studs, frames ceiling, doors, window; grounding, metal plumbing, unfiltered telecom wiring, some HV Lines ( 800 to 1,000 Watt/cm 2 ) X more power 4
5 Background propagation of Wireless technology: Montréal & Toronto 2012: 0.1 to 25, with 100 W/cm 2 zones. Salt Lake City: at street level; average radiation intensity from relay antenna at ground;); Ottawa: tower sites, Salzburg: shadow effects, France: typical background levels ,6 W/cm 2 ) 5
6 Trends: More bytes & spectrum crowding pressure for operators to seek revenues from their standard operations (at high revenue per bit ) No stakeholder awareness of health & safety of users More hypersensitivity, more cases of prostate, lung, facial cancer, more Alzheimer mortality, more heart problems, autism. No monitoring of exposure, emission levels No law enforcement Major (inter) national security risk Debris in sky leading to failures; accelerated corrosion of infrastructure 6
7 Trends spectrum crowding 7
8 Quantum-leap-accelerated Wireless tech Corrosion - rebar & surface cement corrosion cell towers on water tower in Northern France, autumn
9 Quantum-leap-accelerated Wireless technology Corrosion 9
10 Trends: Quality & safety concerns 10
11 Trends (2): Software development in-expertises Forcing aging population to adapt to the technology. Deregulation with new masts (for LAN) Massive electric power consumption by wireless tech 11
12 Precautionary principle Nuremberg Code 1947 (Medical) Exposing people without informing them how radio-frequencies [microwaves] can affect their health & without their consent contravenes Nuremberg Code, adopted to forbid the experience committed by the NAZIs. UNESCO 1999 Important guide when faced with scientific uncertainity especially in potentially irreversible situations or catastrophies. 12
13 Regulations actual and emerging Those who are most vulnerable to EMF are: pregnant, child, aged, sick and hyper-sensitive populations. The World Health Organisation (WHO) (2001) the European Parliament (2009) and the European Council (Resolution 1815) in 2011: (1 milligauss / 1 microwatt/cm 2 ) further to BioInitative suggestions, with possible, emerging standard: 0.10 microwatt/cm 2 There is no structure for deciding action or discipline in Canada for electromagnetic fields. EMF (electric power + wireless) in Canada are among the most elevated in the world (London-Ottawa-Quebec) 13
14 Follow-up: (888) / (613) Workshops / Consulting / Documentation 14
How to address these consequences?
Wireless gadgets currently marketed founded on 1940-50s technology: devices in aeronautics, citizen band, microwave ovens, public safety communications, radar, radiosondes, radio astronomy, television,
More informationThe level of typical exposure to cell phone-related emissions has more than doubled in the last 5 years.
Is Cellular Phone radiation related to sleep problems, Corneal Damage, Behavioral Changes, sperm count, fatigue, irritability, hypertension, allergies, tinnitus, Autism, CFS, Chronic Fatigue Syndrome,
More informationWhat is the problem? Tip of the Iceberg! Electromagnetic Exposure in Schools. Cell Towers & Schools: Waves. Frequency: cycles/second = Hertz
Cell Towers & Schools: Tip of the Iceberg! Waves Frequency: cycles/second = Hertz 1022 1021 1020 1019 1 cycle 1 second dirty electricity Wi-Fi wireless computers mobile phones wiring Dr. Magda Havas, B.Sc.,
More informationWe have definitive evidence for biological effects at low RF exposure.!
The BioInitiative Report was compiled by 14 international experts in 9 month project! Documents over 2000 scientific studies! We have definitive evidence for biological effects at low RF exposure.! We
More informationWireless Radiation in Schools - Fact Sheet and Directives
Wireless Radiation in Schools - Fact Sheet and Directives What is Wireless Radiation? All devices which operate using electricity emit radiation. Wired or corded devices have insulated cables, preventing
More informationQuestionnaire to register adverse health effects caused by high frequency electromagnetic fields (HF EMF)
Questionnaire to register adverse health effects caused by high frequency electromagnetic fields (HF EMF) Please complete and send to: Doctors Initiative Bamberger Appeal Private Medical Case Registry
More informationEMFs and The Gut http://members.thedigestersdilemma.com/emfs-and-the-gut/ The 4 types of EMFs Research Gut Info Solutions 4 Types 1. Electric fields from house wiring. 2. Magnetic fields come primarily
More informationInternational Journal of Academic Research ISSN: Vol.1 Issue.2, August, 2014
T.S.H.Balaji rao, M Tech (BME), P.Raju,M Tech (BME) Y. Ratna Kumar, Senior Research Fellow, Centre for Bio Medical Engg Andhra University, Vishakhapatnam. Interaction of non-ionizing EM waves with biological
More informationDo You Have Microwave Sickness? By. Paul Raymond Doyon MAT (TESOL), MA Advanced Japanese Studies, BA Psychology
Do You Have Microwave Sickness? By Paul Raymond Doyon MAT (TESOL), MA Advanced Japanese Studies, BA Psychology Many people have a hard time fathoming that something that they cannot see, touch, smell,
More informationProbable Health Effects Associated with Base Stations in Communities: The Need for Health Surveys
Probable Health Effects Associated with Base Stations in Communities: The Need for Health Surveys Dr. Neil Cherry Lincoln University Christchurch, Po Box 84, Canterbury, New Zealand, Cherry@lincoln.ac.nz
More informationSection 1. Executive Summary
Section 1 Executive Summary The toolkit was written by public health scientists and is intended as a background document, current to 2012, to assist medical health officers and environmental health officers
More informationBriefing for the California Public Utilities Commission on Smart Meters and Potential Health Impacts
F I L E D 09-14-10 04:59 PM Briefing for the California Public Utilities Commission on Smart Meters and Potential Health Impacts Cindy Sage, Co-Editor David Carpenter, Co-Editor FCC Compliance is Uncertain
More informationThe Hazards of Non-Ionizing Radiation of Telecommunication Mast in an Urban Area of Lagos, Nigeria
www.ajbrui.net The Hazards of Non-Ionizing Radiation of Telecommunication Mast in an Urban Area of Lagos, Nigeria 1 Akintonwa A, 2* Busari A. A, 1 Awodele O and Olayemi S. O Departments of 1 Pharmacology
More informationELECTRO-MAGNETIC RADIATION
ELECTRO-MAGNETIC RADIATION INDEX 1. Compulsive Communication A New Age Disorder by Helen Hansen 2. Electro-Smog & its Symptoms 3. How Cell Phones Can Cause Brain Damage COMPULSIVE COMMUNICATION A New Age
More informationBriefing for the California Public Utilities Commission on Smart Meters and Potential Health Impacts
Briefing for the California Public Utilities Commission on Smart Meters and Potential Health Impacts Cindy Sage, Co-Editor David Carpenter, Co-Editor September 2010 FCC Compliance is Uncertain Meter compliance
More informationDonate. Cellular Phone Towers
Donate Cellular Phone Towers Cellular (cell) phones first became widely available in the United States in the 1990s, but since then their use has increased dramatically. The widespread use of cell phones
More informationShort-term exposure to TETRA base stations
Short-term exposure to TETRA base stations Electromagnetics & Health Research Laboratory University of Essex Overview Why research into base station emissions is being conducted Aims and importance of
More informationYes, there really are health risks from wireless radiation exposure! VOTE NO ON SB 649!
Yes, there really are health risks from wireless radiation exposure! VOTE NO ON SB 649! 0 Table of Contents World Health Organization Classified Wireless Emissions as a Possible Carcinogen 2 Other countries
More informationSmart Meter Health Impacts comments EMFSN (2011), Smart Meter Health Complaints, EMF Safety Network,
Smart Meter Health Impacts Testimonials Image source: Grant Cochrane, http://www.freedigitalphotos.net/images/view_photog.php?photogid=2365 Smart Meter Health Impacts comments EMFSN (2011), Smart Meter
More informationAddendum C INTERNATIONAL EXPERTS PERSPECTIVE ON THE HEALTH EFFECTS OF ELECTROMAGNETIC FIELDS (EMF) AND ELECTROMAGNETIC RADIATION (EMR).
Addendum C Appeals, resolutions that scientists have signed around the world. I'm sending you some of these here to include in the appropriate section. They are also available on my website: INTERNATIONAL
More informationNew problems with Cellphones Andrew Michrowski, Ph.D. Presentation from: Whole Life Expo 2005 Toronto, November 27, 2005
New problems with Cellphones Andrew Michrowski, Ph.D. Presentation from: Whole Life Expo 2005 Toronto, November 27, 2005 The level of typical exposure to cellphone-related emissions has more than doubled
More informationA Basic Summary of the Neurological Effects of Radiofrequency Sickness
A Basic Summary of the Neurological Effects of Radiofrequency Sickness Utility companies nationwide are moving toward installing transmitting electrical, gas, and water meters at each customer s service.
More informationImportance of Dosimetry for Microwave Radiation including WiFi
Importance of Dosimetry for Microwave Radiation including WiFi Karl Maret M.D., M.Eng., B.Sc.(EE) President Dove Health Alliance Aptos, CA kmaret@cruzio.com (831) 662-8421 (Clinic) Sources of RF/Microwave
More informationReport on National Toxicology Program s Cell Phone Study
Report on National Toxicology Program s Cell Phone Study If you take the National Toxicology Program reports on cell phone radiation (rat study and mouse study) at face value, you have to believe that
More informationUnited States District Court. District of Oregon. Portland Division
Shawn E. Abrell, WSBA No. 41054, Pro Hac Vice Pending 3405 NW 31 st Circle, Camas, Washington 98607 Tel.: 503.512.7712; Fax: 503.222.0693 E-Mail: shawn.e.abrell@gmail.com Lead Counsel for Plaintiffs Tyl
More informationHealth Effects The Government Doesn t Protect You From
Health Effects The Government Doesn t Protect You From Or: Why an ICNIRP Certificate Isn t Worth the Paper It s Printed On Dr Grahame Blackwell The Government, and their Watchdog the NRPB, make a big deal
More informationSummary for the Public Cindy Sage, MA Sage Associates, USA
SECTION 1 Summary for the Public Cindy Sage, MA Sage Associates, USA Prepared for the BioInitiative Working Group August 2007 Table of Contents I. Summary for the Public A. Introduction B. Purpose of the
More informationNew problems with cellphones
Whole Life Expo 2005 Toronto, November 27, 2005 New problems with cellphones Andrew Michrowski, Ph.D. The Planetary Association for Clean Energy, Inc 100 Bronson Avenue, Suite 1001 OTTAWA, Ontario K1R
More informationYOUR SANCTUARY. for the modern world.
YOUR SANCTUARY for the modern world. What are the harmful effects of EMR? EMR is regarded by many scientists as very harmful to our health. In fact, in 2011, the World Health Organisation (WHO) and International
More informationTell your doctor if you have ever abused or been dependent on alcohol, prescription medicine or street drugs.
MEDICATION GUIDE Daytrana (day-tron-ah) (methylphenidate transdermal system) CII Only Use Daytrana on Your Skin Important: Daytrana is a federally controlled substance (CII) because it can be abused or
More informationSubmission to Canadian House of Commons Standing Committee on Health. Evidence Indicates Plausible Link between Autism and RF Radiation Exposure
Submission to Canadian House of Commons Standing Committee on Health April 28, 2015 Evidence Indicates Plausible Link between Autism and RF Radiation Exposure Martha Herbert, PhD, MD I am a board-certified
More informationBETH GREER. Healthy Home/ Toxicity Expert Best-selling Author
Healthy Home/ Toxicity Expert Best-selling Author BETH GREER www.bethgreer.com beth@bethgreer.com Expert on Sustainable, Toxin-Free Living @supernaturalmom Good Health Starts in Your Home Mold and Your
More informationStudy on Health Effects of Mobile Tower Radiation on Human Beings
International Research Journal of Engineering and Technology (IRJET) e-issn: 2395-56 Volume: 4 Issue: 11 Nov -17 www.irjet.net p-issn: 2395-72 Study on Health Effects of Mobile Tower Radiation on Human
More informationPublic health implications of wireless technologies
Pathophysiology 16 (2009) 233 246 Public health implications of wireless technologies Cindy Sage a,, David O. Carpenter b a Sage Associates, 1396 Danielson Road, Santa Barbara, CA 93108, USA b Institute
More informationYour Subcutaneous Implantable Cardiac Defibrillator (ICD)
UW MEDICINE PATIENT EDUCATION Your Subcutaneous Implantable Cardiac Defibrillator (ICD) What you need to know Who to Call If you have questions about your appointments, call the Cardiology Clinic at 206-598-4300.
More informationMobile Phones & Airwave. Unexplained symptoms in the 21 st Century
Mobile Phones & Airwave. Unexplained symptoms in the 21 st Century Mobile Phones Research Unit Institute of Psychiatry Funded by the Mobile Telecommunications and Health Research programme (www.mthr.org.uk)
More informationHealth Canada Roles and Responsibilities - Electromagnetic Fields (EMFs) and Safety Code 6
Health Canada Roles and Responsibilities - Electromagnetic Fields (EMFs) and Safety Code 6 Beth Pieterson, Director General, Dr. James McNamee, Research Scientist Environmental and Radiation Health Sciences
More informationHealth effects of radiofrequency radiation: sifting and weighing the science
Health effects of radiofrequency radiation: sifting and weighing the science Dr. Meg Sears PhD Adjunct Investigator, Children s Hospital of Eastern Ontario Research Institute Sr. Clinical Research Associate,
More informationHealth effects of radiofrequency radiation: sifting and weighing the science
Health effects of radiofrequency radiation: sifting and weighing the science Dr. Meg Sears PhD Adjunct Investigator, Children s Hospital of Eastern Ontario Research Institute Sr. Clinical Research Associate,
More informationICNIRP (the International Commission on Non-Ionising Radiation Protection)
ICNIRP (the International Commission on Non-Ionising Radiation Protection) ICNIRP was formed in 1992. In 1998 ICNIRP published its thermal (heating and shock) guidelines. These have been widely criticized
More informationA socio-psychological analysis of the characteristics and needs for information and communication of EMF Hypersensitives
A socio-psychological analysis of the characteristics and needs for information and communication of EMF Hypersensitives Results of the BfS-Study presented at the International Workshop on Results from
More informationHealth Canada Roles and Responsibilities - Electromagnetic Fields (EMFs) and Safety Code 6
Health Canada Roles and Responsibilities - Electromagnetic Fields (EMFs) and Safety Code 6 Beth Pieterson Health Canada Union of British Columbia Municipalities September 27, 2012 The Electromagnetic Spectrum
More informationPower Lines and Health: The Evidence and Public Policy
Power Lines and Health: The Evidence and Public Policy Christina Chociolko, Network Coordinator, NCCEH Prabjit Barn, Environmental Health Scientist, NCCEH and BCCDC Nelson Fok, Provincial Manager, Alberta
More informationSaleeby Chiropractic Centre, P.A.
Saleeby Chiropractic Centre, P.A. Stephen M. Saleeby, D.C. Wayne J. Prickett, D.C. Today s Date: / / Chiropractic Intake Z: Name: DOB: / / Age: First MI Last Preferred Name: Address City State Zip Code
More informationVanderbilt University Autonomic Dysfunction Center Autonomic Dysfunction Questionnaire
Vanderbilt University Autonomic Dysfunction Center Autonomic Dysfunction Questionnaire Name: Date: Address: Phone number:( ) E-mail address: Birth date: / / Age: Sex: M F Height Weight Ethnic group: a.
More informationBiological Effects of Cell Tower Radiation on Human Body
Biological Effects of Cell Tower Radiation on Human Body Neha Kumar (Director, WILCOM Technologies Pvt. Ltd.) Prof. Girish Kumar (I.I.T Bombay) ISMOT- 2009 OBJECTIVE Radiation measurements near the cell
More informationA position regarding the use of Non-Ionizing Electromagnetic Radiation, including WiFi, in the workplace. OECTA Provincial Health and Safety Committee
A position regarding the use of Non-Ionizing Electromagnetic Radiation, including WiFi, in the workplace OECTA Provincial Health and Safety Committee www.oecta.on.ca Table of Contents Introduction 2 What
More informationBiological Immunity Analysis
Biological Immunity Analysis Indicators Brix Analysis (Sugars/Carbohydrates) Using a refractometer, we are able to measure the line of least resistance for light. Brix is the unit of measurement used to
More informationWHO Research Agenda for RF fields
WHO Research Agenda for RF fields Dr E. van Deventer 1 Outline Introduction The WHO RF Research Agenda Motivation Background Content Discussion 2 3 Established in 1996 Coordinated by WHO HQ (SDE/PHE/RAD)
More informationIsland Acupuncture. Patient General Information. Last Name First Name. Home Phone Cell Phone. Work Phone . Date of Birth Occupation
Island Acupuncture & Massage Therapy Patient General Information GENERAL PATIENT INFORMATION Last Name First Name Home Phone Cell Phone Work Phone Email Address (street) (city) (state) (zip) Date of Birth
More informationSusan D. Foster. September 20, Honorable Edmund G. Brown State Capitol, Suite 1173 Sacramento, CA Re: STRONGLY OPPOSE SB 649 PLEASE VETO
Susan D. Foster 15957 Avenida Calma Rancho Santa Fe, California 92091 susan.foster04@gmail.com September 20, 2017 Honorable Edmund G. Brown State Capitol, Suite 1173 Sacramento, CA 95814 Re: STRONGLY OPPOSE
More informationThe Possible Harmful Biological Effects of Low Level Electromagnetic Fields of Frequencies up to 300 GHz. IEE Position Statement - May 2002
Summary The Possible Harmful Biological Effects of Low Level Electromagnetic Fields of Frequencies up to 300 GHz IEE Position Statement - May 2002 The Institution of Electrical Engineers Policy Advisory
More informationWhy mobile phone masts can be more dangerous than the phones
Why mobile phone masts can be more dangerous than the phones Andrew Goldsworthy, March 2008 Abstract Living cells have a range of negative feedback mechanisms that sense non-thermal radiation damage and
More informationPackage leaflet: Information for the user. Melatonin Pharma Nord 3 mg, film-coated tablets melatonin
Package leaflet: Information for the user Melatonin Pharma Nord 3 mg, film-coated tablets Read all of this leaflet carefully before you start taking this medicine because it contains important information
More informationCancer Association of South Africa (CANSA) Fact Sheet and Position Statement on Exposure to Radiofrequency Electromagnetic Fields
Cancer Association of South Africa (CANSA) Fact Sheet and Position Statement on Exposure to Radiofrequency Electromagnetic Fields Introduction On 31 May 2011, The International Agency for Research on Cancer
More informationRF and Health: A WHO Perspective
ITU/UNESCO Forum on Human Exposure to Electromagnetic Fields (EMFs) in Latin America Montevideo, Uruguay, 13 March 2014 RF and Health: A WHO Perspective Dr E. van Deventer Team Leader, Radiation Programme
More information2015, Brussels International Scientific Declaration on Electromagnetic Hypersensitivity and Multiple Chemical Sensitivity
Statement 2015, Brussels International Scientific Declaration on Electromagnetic Hypersensitivity and Multiple Chemical Sensitivity Following the 5 th Paris Appeal Congress that took place on the 18 th
More informationGraham/Stetzer Filters Improve Power Quality in Homes and Schools, Reduce Blood Sugar Levels in Diabetics, Multiple Sclerosis Symptoms, and Headaches.
Graham/Stetzer Filters Improve Power Quality in Homes and Schools, Reduce Blood Sugar Levels in Diabetics, Multiple Sclerosis Symptoms, and Headaches. Magda Havas1 and David Stetzer2 1Environmental & Resource
More informationDexamethasone is used to treat cancer. This drug can be given in the vein (IV), by mouth, or as an eye drop.
Dexamethasone Other Names: Decadron About This Drug Dexamethasone is used to treat cancer. This drug can be given in the vein (IV), by mouth, or as an eye drop. Possible Side Effects (More Common) Increased
More informationWhat do you believe is causing your most important health concern?
Intake form Name Today s Date Date of Birth Address City Phone Postal Code Email Primary Health Care Provider Emergency Contact Phone Note: By providing your email address you are giving us consent to
More informationShirley Gutkowski, RDH, BSDH. Primary OMT Practitioner and Breathing Re-training Instructor 1266 W. Main Street Sun Prairie, WI
, RDH, BSDH Primary OMT Practitioner and Breathing Re-training Instructor Street Name Date of Birth Guardian Address Email Phone Home Referred by Insurance Carrier Patient SS number Insurance garniture
More informationExtended Health Care Company Do you need any help retaining information about your health insurance coverage? Yes No
PATIENT ENTRANCE FORM Date Circle: Male Female Name Birth Date (dd/mm/yy) Age Address Apt # City Province Postal Code Home # Cell # Work # E-MAIL Occupation Employer Name of Emergency Contact Contact #
More informationA Review of the Potential Health Risks of Radiofrequency Fields from Wireless Telecommunication Devices
A Review of the Potential Health Risks of Radiofrequency Fields from Wireless Telecommunication Devices An Expert Panel Report prepared at the request of the Royal Society of Canada for Health Canada The
More informationBig. Shots. Big. Sh ts. The sound choice in Hearing Protection. Be Ear-Responsible
Shots TM by TM Be Ear-Responsible (407) 339-2422 170 N. Cypress Way Casselberry, FL 32707 Info@earasers.net Earasers.net UG / BS / 3 Copyright 2016 Persona Medical The sound choice in Hearing Protection
More informationEbea, Erice (Sicily), 29/03/2008 Fixed site transmitter studies
Ebea, Erice (Sicily), 29/03/2008 Fixed site transmitter studies M. Röösli, PhD University of Bern Institute of Social and Preventive Medicine Content > Introduction > Methodological challenges of studying
More informationBridges Family Wellness PC. New Patient Intake. Bridges Family Wellness Intake Form SE Lake Rd, Suite 102 Milwaukie, OR
New Patient Intake Bridges Family Wellness Intake Form Full Name: * What is your birthdate? MM/DD/YYYY * What is your gender identity? * Home address: * Cell Phone * Other Phone number(s): Emergency Contact
More informationAlivia Acupuncture Clinic, LLC. Address. City State Zip. . Occupation Employer. Emergency contact Relationship. Primary Care provider Phone
Alivia Acupuncture Clinic, LLC Karla Sourasky Olmos, L. Ac Patient Information Name Age Date of birth Address City State Zip Email Home Phone Work phone Cell Phone Marital Status Single Married Divorced
More informationQuestions to ask your Doctor
Questions to ask your Doctor What is my current blood pressure? What are my target blood pressure numbers? What blood pressure medication(s) am I currently taking? How is this drug different from what
More informationWELCOME TO THE MILLER CHIROPRACTIC CLINIC
WELCOME TO THE MILLER CHIROPRACTIC CLINIC We are pleased that you have chosen to consult us regarding your health. In order to help us evaluate your condition thoroughly, please complete the following
More informationResearch proposal. The Effect of In Utero Exposure to Electromagnetic Radiation from Laptop Computers. Sarah H. Khan. Infant Development
Research proposal The Effect of In Utero Exposure to Electromagnetic Radiation from Laptop Computers Sarah H. Khan Infant Development Prof. William P. Fifer 12/14/2010 1 The Effect of In Utero Exposure
More informationPatient Information. Marital Status (Single, Married, Life Partner, Divorced, Widowed) CHIEF COMPLAINT
Patient Information Name Date Home Address City State Zip Phone E-mail Address Cell Phone: Business Address City State Zip Phone Occupation Place of Birth Date of Birth Age Height Weight Soc. Sec. # Sex
More informationWELCOME TO THE BURLINGTON NATURAL HEALTH CENTRE PLEASE FILL IN THESE FORMS AS COMPLETELY AS POSSIBLE. THANKYOU!
WELCOME TO THE BURLINGTON NATURAL HEALTH CENTRE PLEASE FILL IN THESE FORMS AS COMPLETELY AS POSSIBLE. THANKYOU! NAME DATE ADDRESS Gender CITY, PROVINCE HOME PHONE E MAIL POSTAL CODE DATE OF BIRTH (D/M/Y)
More informationOBJECTION against 5 new BTS sites in Ludwigsdorf. Antennas near homes: Increased cancer risk
1 Radiation Awareness Namibia Information for Improved Awareness & Public Health Protection. Working for the precautionary siting of masts & antennas away from homes & schools and the safer use of cell
More informationCONSULTATION ADMITTANCE FORM
CONSULTATION ADMITTANCE FORM Last Name: First Name: Address: City Postal Code: Home Phone: Work Phone: Age: Birth date (dd/mm/yr): Sex: M / F Height Weight Occupation: Alberta Health Care #: PLEASE CHECK
More informationInitial Consultation
Today s Date: Initial Consultation Thank you for choosing Apollo Health and Wellness. Please take your time to fill out this form. It will help us to concentrate on areas of your health that need attention
More informationSay "STOP" to the FCC and Wheeler in 5G vote
"We Are The Evidence", Those Injured by Wireless Ask Congress: PLEASE PROTECT US & HELP US PROTECT the PUBLIC's HEALTH Who Are We? Say "STOP" to the FCC and Wheeler in 5G vote Unlike what the public has
More informationMedication Guide Clonazepam Tablets USP (kloe-na-za-pam)
Medication Guide Clonazepam Tablets USP (kloe-na-za-pam) Read this Medication Guide before you start taking clonazepam tablets and each time you get a refill. There may be new information. This information
More informationIMPORTANT: PLEASE READ
PART III: CONSUMER INFORMATION Pr BACLOFEN Baclofen Tablets 10 mg and 20 mg This leaflet is part III of a three-part "Product Monograph" published when BACLOFEN was approved for sale in Canada and is designed
More informationINTERNATIONAL ASSOCIATION OF FIRE FIGHTERS DIVISION OF OCCUPATIONAL HEALTH, SAFETY AND MEDICINE
INTERNATIONAL ASSOCIATION OF FIRE FIGHTERS DIVISION OF OCCUPATIONAL HEALTH, SAFETY AND MEDICINE Position on the Health Effects from Radio Frequency/Microwave (RF/MW) Radiation in Fire Department Facilities
More informationGet on with life, we ll see you. in 6 months. Living your life your way with MS
Get on with life, we ll see you in 6 months. Living your life your way with MS If you re one of the 4000 New Zealanders affected by MS, ask your doctor or nurse if OCREVUS is right for you. Contents What
More informationINTERNATIONAL ASSOCIATION OF FIRE FIGHTERS DIVISION OF OCCUPATIONAL HEALTH, SAFETY AND MEDICINE
INTERNATIONAL ASSOCIATION OF FIRE FIGHTERS DIVISION OF OCCUPATIONAL HEALTH, SAFETY AND MEDICINE Position on the Health Effects from Radio Frequency/Microwave (RF/MW) Radiation in Fire Department Facilities
More informationCellular Telephone Use and Cancer. Recently, there has been concern that the use of hand-held cellular telephones may be
CANCER FACTS N a t i o n a l C a n c e r I n s t i t u t e N a t i o n a l I n s t i t u t e s o f H e a l t h D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s Cellular Telephone Use
More informationCHEMOTHERAPY. What should I expect?
CHEMOTHERAPY What should I expect? WHAT IS CHEMOTHERAPY? Chemotherapy is treatment that uses drugs to stop the growth of cancer cells, either by killing the cells or by stopping them from dividing. Chemotherapy
More informationWho may we thank for referring you?
NEW PRACTICE MEMBER APPLICATION Name Date of Birth / / Age Male/Female Address City State Zip Phone: Cell Home Social Security #: Email: Occupation Employer s Name Status: Single / Married / Divorced /
More informationGLEEVEC (imatinib mesylate) Capsules FACT SHEET
Health Canada Santé Canada GLEEVEC (imatinib mesylate) Capsules FACT SHEET CONDITIONAL APPROVAL OF GLEEVEC This fact sheet notifies the Canadian public that Health Canada has issued a conditional marketing
More informationSymptom Review (page 1) Name Date
v2.4, 2/13 JonathanTreasure.com Botanical Medicine & Cancer Herb Drug Interactions Herbalism 3.0 Symptom Review (page 1) Name Date INSTRUCTIONS Please read each section below carefully and, after each
More informationNew Practice Member Application
New Practice Member Application Name Date of Birth / / Age Male/Female Address City State Zip Phone: Cell Home Social Security #: Email: Occupation Employer s Name Status: Single / Married / Divorced /
More informationPackage leaflet: Information for the patient. Scandonest 3% w/v, Solution for Injection Mepivacaine hydrochloride
Package leaflet: Information for the patient Scandonest 3% w/v, Solution for Injection Mepivacaine hydrochloride Read all of this leaflet carefully before you start using this medicine because it contains
More informationName: Date of birth: Address: City: State: Zip: Phone: (day) (evening): (cell): address: Occupation: Who referred you/how did you hear about us?
Name: Date of birth: Address: City: State: Zip: Phone: (day) (evening): (cell): Email address: Occupation: Who referred you/how did you hear about us? Your primary health care provider: Phone: Emergency
More informationAdult Health Questionnaire
Health for Life Chiropractic At Cloverdale Mall Unit #143-250 The East Mall Etobicoke, ON, M9B 3Y8 416-232-1822 416-232-0060 Dr. Chrystopher Sly B.Sc, D.C. Dr. Jesse Cracknell B.A., D.C. Adult Health Questionnaire
More information16 January 2014 STATEMENT WITH REGARD TO HEALTH DANGERS FROM SMART METERS
Institute for Health and the Environment 16 January 2014 STATE OF MASSACHUSETTS ATTN: DEPARTMENT OF PUBLIC UTILITIES RE: DUP Order Docket 12-76-A STATEMENT WITH REGARD TO HEALTH DANGERS FROM SMART METERS
More informationHEALTH HISTORY QUESTIONNAIRE
1525 S. Alafaya Trail Unit 105 / Orlando, FL 32828 T: 407-282-4449 F: 407-282-4438 www.synergyspineinjury.com HEALTH HISTORY QUESTIONNAIRE Name: Date: Address: City: State: Zip: S.S. #: Cell Phone: Home
More informationPackage leaflet: information for the user. Sildenafil 25 mg, 50 mg and 100 mg film-coated tablets Sildenafil
Package leaflet: information for the user Sildenafil 25 mg, 50 mg and 100 mg film-coated tablets Sildenafil Read all of this leaflet carefully before you start taking this medicine because it contains
More informationMEDICATION GUIDE Morphine Sulfate (mor-pheen) (CII) Oral Solution
MEDICATION GUIDE Morphine Sulfate (mor-pheen) (CII) Oral Solution IMPORTANT: Keep Morphine Sulfate Oral Solution in a safe place away from children. Accidental use by a child is a medical emergency and
More informationSummary Report on the Status of Research Related to Radiofrequency Field Exposure and Health
Health Sciences Practice and Electrical Engineering & Computer Science Practice Summary Report on the Status of Research Related to Radiofrequency Field Exposure and Health Page1of71 Summary Report on
More informationWelcome to MedWell. MedWell Health and Wellness Centers. Don t live with PAIN Live WELL MedWell. o Newspaper o Referred by.
1 Welcome to MedWell Patient Information Date: Name: Date of Birth: / / Address: City: State: Zip Code: Home Phone: ( ) - Cell Phone: ( ) - Email: Gender: o Male o Female State Drivers License: Social
More information/ / - - / / Age: USF Cutaneous Oncology Program. Skin Cancer Questionnaire. Patient Information: Fax completed forms to:
Page 1 of 8 Patient Information: Last Name: First Name: Initial: Address: Address (cont.) : City: State: Zip Code: Phone: - - Social Security Number: Date of Birth: - - Age: Sex: Female Male Email Address:
More informationName: Date of Birth: Street Address: Apt.# City: State: ZIPCODE: Home Phone: Work Phone: Cell Phone: Pharmacy name & address: Phone#:
Stephen L. Aronoff, M.D., F.A.C.E. Diplomate of the American Board of Internal Medicine and the Subspecialty Board of Endocrinology and Metabolism 2400 Lakeside Blvd., Suite 130, Richardson, TX 75082 Phone:
More informationWeb E-Mial Registration Form. Med practitioner s name. Med practitioner s phone. Name/location of the clinic
AsthmaCare Program Buteyko Clinic USA, LLC Web www.asthmacare.us E-Mial info@asthmacare.us Workshop Date Workshop location Registration Form The purpose of this form is to assist AsthmaCare practitioner
More informationAfter Your Pacemaker Generator Change
UW MEDICINE PATIENT EDUCATION After Your Pacemaker Generator Change What you need to know Who to Call If you have questions about your appointments, call the Cardiology Clinic at 206.598.4300. If you have
More information