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What is your primary reason for coming today?
Have you had bodywork before, and if so which modalities?
Any additional health problems, allergies/sensitivities, injuries, surgeries, or other concerns that I should be aware of, such as areas to avoid:
*** When coming to our office we request that you please refrain from your use of scented products, natural or otherwise, as much as possible. Thank you for your consideration.
*** Permission & Disclaimer:
I may consult with my colleague and mentor, Dr. Richard Metz, about your treatment/condition if I think that it might be useful or necessary.
This therapy is not a substitute for conventional allopathic medical care. For diagnosis, monitoring and treatment of medical conditions, please consult your physician.
*** Please sign and date here to acknowledge your understanding and approval of the above statements:
I appreciate you being here and I look forward to working with you on your healing journey. 🙂
(Last edited 11/06/13).