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Physical Therapy Intake Form Date: Name: Home Address: Home/Mobile Phone: ()Work Phone: () Please circle preferred # to be used aboveBirthdate: Age: Sex: M / Student: No / Full time / ParttimeEmail
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Natural formrapy wellness center is a holistic wellness center that focuses on natural therapies such as herbal remedies, acupuncture, and massage.
Any business or individual operating a natural formrapy wellness center is required to file.
To fill out natural formrapy wellness center, you must provide information about your business, services offered, and any certifications or licenses.
The purpose of natural formrapy wellness center is to promote health and well-being through natural therapies.
Information such as revenue, expenses, number of clients served, and any adverse reactions to treatments must be reported on natural formrapy wellness center.
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