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Massage Intake Formalist Name: Last Name: Birthdate: Contact Number: Emergency Contact Name & Number: Check all that apply: Knee problems/difficult to kneel Pregnant Cold/flu/infectious disease Seizures/epilepsy

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What is knee problemsdifficult to kneel?

Knee problemsdifficult to kneel refer to any issues or injuries that make it hard for an individual to bend their knees or put weight on them.

Who is required to file knee problemsdifficult to kneel?

Individuals who experience knee problems that make it difficult to kneel are required to file this information.

How to fill out knee problemsdifficult to kneel?

Individuals can fill out knee problemsdifficult to kneel by providing details about their specific knee issues and how it affects kneeling ability.

What is the purpose of knee problemsdifficult to kneel?

The purpose of knee problemsdifficult to kneel is to document and report any difficulties individuals face when kneeling due to knee problems.

What information must be reported on knee problemsdifficult to kneel?

Information related to the specific knee problems, how they affect kneeling ability, any treatments or therapies being utilized, and any recommended modifications or accommodations.

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