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Get and Sign MASSAGE INTAKE FORM Bactivecareatlantabbcomb
Johns Creek GA 30097 T 770. 559. 4236 F 770. 559. Have you had massage therapy before No Yes If Yes what kind Swedish Deep Tissue Hot Stone Sports Neuro Muscular Shiatsu Thai Massage Other 2. 4795 www. ActiveCareAtlanta.com MASSAGE INTAKE FORM Name Birth Date Age Male Female Phone Cell Occupation Address City State Zip Email Emergency Contact Relation Phone 1. Understand that although massage therapy can be very therapeutic relaxing and reduce muscular tension it is not a substitute for...
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