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916 N. Dixie Freeway New Smyrna Beach, FL 32168 Office: (386) 4267885 Fax: 18662399013 Email: bluewatertherapy1@gmail.comPatient Registration Form Patient Information Date:Home Phone:Cell Phone:Name:

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Blue Water Formrapy Inc. is a company that specializes in providing innovative therapeutic solutions and services related to water therapy for various health conditions.

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Individuals or entities that have engaged with Blue Water Formrapy Inc. for their services are typically required to file necessary documentation related to their treatment or use of the products offered by the company.

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The purpose of Blue Water Formrapy Inc. is to facilitate and enhance therapeutic practices through water-based treatments, aiming to improve health and wellness for its clients.

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The information that must be reported typically includes personal identification details, health history, treatment preferences, and any other data required to tailor the therapeutic approach to individual needs.

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