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Ivan Ruben Integrative Therapies 302 1245 W Broadway, Vancouver, B. C V6H 1G7 6042402444 www.ivanduben.com Client Information CONFIDENTIAL Name Phone: Cell: Address: Sex: M F Age: Date of Birth: /
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How to fill out intake form structural integrationdoc

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How to fill out intake form structural integration doc:

01
Start by entering your personal information, including your full name, address, phone number, and email address. This is important for the practitioner to have your contact information for future communication.
02
Fill in your medical history. Provide details about any past surgeries, injuries, or chronic conditions that may be relevant to your structural integration session. This information will help the practitioner understand your body and tailor the treatment accordingly.
03
Specify any medications or supplements you are currently taking. It is crucial to disclose this information as certain medications or supplements can affect the structural integration process or interact with specific techniques.
04
Note down any allergies or sensitivities you have. This includes any allergies to lotions, oils, or other substances that may be used during the session. It is important to inform the practitioner to ensure your safety and well-being during the treatment.
05
Describe your lifestyle habits and physical activities. Mention any regular exercises or sports you engage in, as well as your occupation or any repetitive movements that may affect your overall posture and alignment.
06
Indicate your goals and expectations for the structural integration session. Whether you seek pain relief, improved flexibility, or enhanced body awareness, providing clear goals will help the practitioner customize the treatment plan to meet your specific needs.
07
Lastly, ensure you read and understand any terms, conditions, or consent forms included in the intake form. This may include information on privacy policies, cancellation policies, or any risks associated with structural integration.

Who needs intake form structural integration doc:

01
Individuals seeking structural integration therapy to address body imbalances, posture issues, or movement restrictions can benefit from completing the intake form. It serves as a comprehensive record of their medical history and helps the practitioner understand their specific needs.
02
People with a history of injuries, surgeries, or chronic conditions can benefit from completing the intake form. This information allows the practitioner to develop a treatment plan that considers any preexisting conditions or contraindications.
03
Those interested in exploring alternative therapies or complementary approaches to enhance their well-being can benefit from filling out the intake form. It provides a platform to communicate their goals and expectations, ensuring a tailored and effective structural integration session.
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Intake form structural integrationdoc is a document used to collect information about a client's medical history, current health conditions, and goals for structural integration therapy.
Clients who are seeking structural integration therapy are required to fill out and file the intake form.
Clients can fill out the intake form by providing accurate information about their medical history, current health conditions, and goals for therapy.
The purpose of the intake form is to help the therapist understand the client's needs and goals in order to provide effective structural integration therapy.
Information such as medical history, current health conditions, and therapy goals must be reported on the intake form.
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