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Kneaded Bliss Bodywork Chair Massage Intake Form
Employer Occupation Emergency Contact Relationship Check all that apply Is this your first professional massage knee problems /difficult to kneel pregnant cold/flu/infectious disease seizures/epilepsy diabetes bruise easily/varicose veins DVT/blood clots skin condition/rash/open cuts high or low blood pressure circle which cancer/radiation or chemotherapy lymph nodes removed surgery in the last 8 weeks neuropathy neck/spine problems implanted medical devices breast augmentation fragile...
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