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Dr. Glenn Lang, B.Sc., D.C. Dr. Adam Alexander, Bah. Sc., D.C. 920 Yong St. S. PO Box 1030 Walkerton, ON N0G 2V0 5198813443 www.ilfc.caIonic Foot Bath Intake Form Personal History Name: ___ Address:
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How to fill out ionic foot bath intake

01
Start by filling out the necessary intake form provided by the ionic foot bath practitioner.
02
Provide accurate information regarding your medical history, current health conditions, allergies, and medications.
03
Fill in details about any recent surgeries, injuries, or chronic illnesses that may impact the foot bath experience.
04
Be honest about any discomfort or pain you may be experiencing in your feet or body to ensure a safe and effective treatment.
05
Ask any questions you may have about the process before submitting the intake form.

Who needs ionic foot bath intake?

01
Individuals looking to detoxify their body and improve overall health may benefit from an ionic foot bath intake.
02
People experiencing symptoms such as fatigue, joint pain, headaches, or skin issues may find relief from regular foot bath sessions.
03
Those interested in natural and non-invasive methods of promoting wellness can also consider trying an ionic foot bath.
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Ionic foot bath intake is a form that gathers information about the client's medical history, current health condition, and any allergies or sensitivities they may have before undergoing an ionic foot bath treatment.
Clients who are seeking to undergo an ionic foot bath treatment are required to fill out and file ionic foot bath intake form.
Clients can fill out the ionic foot bath intake form by providing accurate information about their medical history, current health condition, and any allergies or sensitivities they may have.
The purpose of ionic foot bath intake is to ensure the safety of the client during the treatment by collecting relevant medical information and identifying any potential risks or contraindications.
Information such as medical history, current health condition, any allergies or sensitivities, and contact information must be reported on the ionic foot bath intake form.
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