Reflexology consent form

Reflexology consent form

Download Reflexology consent form




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Date added: 03.03.2015
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Referred by: Experienced Reflexology before: Yes No. Jean Wehner, CTACC By signing this form, I give my consent to a reflexology session. I acknowledge I

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Page 1. Reflexology Consent Form. Name: Email: Home Phone: Phone: Cell Phone________________________________. Address: City: State: ______ Client Consent Form. Amelia use Healing Touch, energetic craniosacral therapy, energetic reflexology, tuning forks, gemstones, and therapeutic-grade essential Reflexology is not a substitute for medical treatment, but is a complement to most types of By signing this form, I give my consent to a Reflexology session.

Second, all reflexology treatments given at MIR Clinic contribute more statistics to our (This consent form is approved by Axis Insurance Company.).Reflexology Consent Form. Pam Marshall-Neil. Certified Reflexologist. Reflexology reduces stress and promotes relaxation, increases circulation, releases Client Consultation Form – Reflexology. College Name: Client Name: Mrs GH. College Number: Address: Dorset. Student Name: Student Number: Profession: Client Consultation Form – Reflexology cannot be obtained clients must give their informed consent in writing prior to treatment (select where/if appropriate): 1. Consent form (massage and re?exology). Please read and ?ll in this form thoroughly, printing clearly. The information provided is kept strictly con?dential.

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