A Self Assessment

The following health questionnaire was designed to assist you in determining what system(s) or organs and glands are weak or failing in your body. Disease symptoms are nothing more than failure of your cells to function properly, as well as congested and obstructed body systems.

Use our herbal formulas to help you clean and strengthen the specific areas of your body that this questionnaire identifies for you.

Please visit the Clinic Services page to browse the services and options available.

Simply Download the following PDF file, print it out, and mail it to:

Dr. Morse's Herbal Health Club
525 Tamiami Trail Unit 5
Port Charlotte, Fl 33953

Or Fax the completed form to: (941) 766-8067

Health Assessment Form