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Hahnemann Clinic forms

Guide to developing a timeline

Please note

There is no online form to fill out for developing a timeline. What follows is simply a set of guidelines for what we are looking for from you. You will need to create this as a separate document and then e-mail it to the clinic as an attachment.

E-mail the clinic with your timeline document attached.

Before you begin to write your timeline please take a moment to read the following:

  1. Please submit the timeline in a word or .rtf document, or pasted into the body of an e-mail. DO NOT submit as an excel or other type of spreadsheet or pDF document.
  2. Please integrate all information into one chronological listing (eg. Combine vaccinsations with other timeline vents), DO NOT group by category
  3. Start with the most recent events and work backwards to birth and any pre-birth issues that may have occurred. See example on next page for format preferred.

The following is a list of the type of things that need to be included on your timeline.



NB: Some emotional traumas can involve a combination of emotions.

The following is an example of what a timeline could look like and how we would like your timeline formatted for submission to your practitioner. Exact dates are not necessary but if known it is fine to include them (Such as dates for vaccinations, surgical procedures, births etc).

April 2014 grandmother passed away, very close with her, lots of crying

01/17/2014 MMR shot received, bad reaction, lots of swelling, very scared to receive Dec 2013 fell on ice and broke arm, had it set in hospital, x-rays but no drugs

Sept 2013 flu, missed school for two weeks, antibiotics

Summer 2013 lots of falls outside, cuts and bruises, one required stitches at hospital

June 2013 moved to new city, gried and anger about leaving home and friends

1.0.3 /fD