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Moving On Center NYC at CAKE 49 West 27th Street, Mezzanine B New York, NY 10001 www.movingoncenter.org×Dynamics MTT/ SMTP Wellness.net (212× 4142921 Waking Up to Self Somatic Movement Therapy Training

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How to fill out wakingregistrationformdoc - wellnesscke:

1. Start by entering your personal information such as your full name, address, and contact details in the designated fields. Make sure to double-check the accuracy of the information before proceeding.
2. Next, provide your date of birth, gender, and any relevant medical conditions or allergies that the wellness center should be aware of.
3. Indicate your emergency contact information, including the name, relationship, and contact number of someone who should be contacted in case of an emergency during your visit to the wellness center.
4. If applicable, provide your insurance information, including the name of your insurance provider, policy number, and any necessary details required by the wellness center.
5. Review the terms and conditions section carefully and make sure to understand the policies and procedures of the wellness center. If you have any questions or concerns, don't hesitate to reach out to the center's staff for clarification.
6. Sign and date the form, indicating your consent and agreement to the terms and conditions stated.

Who needs wakingregistrationformdoc - wellnesscke:

1. Individuals who are planning to visit a wellness center for the first time and are required to complete a registration form before accessing the services.
2. People who have recently experienced a change in their medical condition or have new allergies that may require special attention from the wellness center staff.
3. Anyone who wishes to establish a relationship with a wellness center for ongoing healthcare management, prevention, or wellness services.
4. Individuals who may require emergency medical attention during their visit and need to provide contact information for their designated emergency contact person.
5. Those who have insurance coverage that may be applicable to the services provided by the wellness center and need to provide relevant insurance information for billing purposes.

Remember, always fill out the wakingregistrationformdoc - wellnesscke accurately and provide any necessary information to ensure the wellness center can offer you the best possible care and support.

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