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1 of 3Massage/Shiatsu Therapy Form Please complete this form as thoroughly as possible. The information provided is kept confidential according to The Pacific Wellness Institute Privacy Policy. This

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How to fill out massageshiatsu formrapy form

01

Start by filling out your personal information: name, address, contact number, email.

02

Provide your medical history, including any pre-existing conditions, allergies, or recent surgeries.

03

Next, indicate your preferences for the massage session, such as pressure intensity, areas of focus, and any specific concerns or goals you have.

04

If you have any contraindications or areas to avoid, make sure to mention them.

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Sign and date the form to acknowledge that the provided information is accurate and complete.

Who needs massageshiatsu formrapy form?

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Anyone who wishes to receive massageshiatsu therapy needs to fill out the massageshiatsu formrapy form.

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It is a necessary step to ensure that the therapist has all the relevant information about your health, preferences, and any contraindications.

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