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Please complete the health intake form prior to your first in person session.

Client Health Intake

Please share the following information about you & your health. Your information is confidential. Please Inform Stephanie of any changes in your health between now and your scheduled sessions.

Are you currently receiving a Doctors care for a medical condition, communicable disease, illness, or injury? Have you been hospitalized in the last 12 months?
Have you had Covid?

Successfully Submitted, Thank you.

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