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Food Chart

Please complete a food diary with the form below for a minimum of 4 days and upload to the intake form or print and bring with you to your appointment.

KASEY BORDAS

BCHHP, CCMH

Functional Medicine Specialist

Holistic Health Practitioner

Master Clinical Herbalist

325 Wellness Drive 

Myrtle Beach, SC 29579

843-957-7067(call or text)

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Licensed Certified Holistic Medicine

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© 2021 Kasey Bordas

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