CLIENT FORMS

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for new clients, please fill out the Health Information (#1) and the Client Agreement (#2) forms below (paper clip in a circle)

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the Retrain Pain (#4) worksheet is for, but not limited to: anyone dealing with chronic pain and the worksheet frames questions in a helpful way,  for any chronic or auto immune conditions, and recovery from surgery and/or injury

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PLEASE EMAIL OR FAX ALL FORMS TO:

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pili@advancedhealingartstherapy.net       or      844.440.5507

            

this is an encrypted email that is HIPAA compliant, and will keep your personal information secure.

I am striving to be as paperless as possible, so would value your help with this.  If you are unable to fill pdf's out electronically, please let me know when booking, to allow for some extra time to fill out prior to your appointment

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