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Full Circle Holistic- A Women s Health-Care Practice 2110-B Bardstown Road Louisville KY 40222 502 774-0460 The Arvigo Techniques of Maya Abdominal Therapy Confidential Intake Date of Initial Visit Name Address City State Zip Home Phone Work PhoneCellemail Date of Birth AgeOccupation Marital/Relationship statusReferred by Reason For Visit Primary reason for visit When did your first notice it What brought it on Describe any stressors occurring at the time What activities provide relief what...
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The document is specifically designed for use with female clients in the nov13 cohort.
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The atmat client intake femalenov13docx is a document used for collecting client information in a specific format.
All clients who are seeking services or assistance must fill out the atmat client intake femalenov13docx form.
The atmat client intake femalenov13docx form should be filled out by providing accurate and detailed information requested in each section of the form.
The purpose of the atmat client intake femalenov13docx form is to gather necessary information about the client for providing appropriate services or assistance.
The atmat client intake femalenov13docx form typically requires information such as personal details, contact information, reason for seeking services, and any relevant medical history.
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