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- Restoring movement and posture
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Name
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Last
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Occupation
Date of Birth
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INJURY HISTORY - breaks/ sprains/ falls
ILLNESS HISTORY & SURGERIES
MEDICATION TAKEN
Ladies
Tick any that apply
I am pregnant
I am nursing a child
I have impants
I have Fibroids
I have Endometeriosis
Do you have
numbness or tingling in your extremities?
circulation issues?
diabetes?
a heart condition?
a lymphatic condition?
headaches or migraines?
Temporomandibular Joint Disorders?
What are your main activities or work that affect your alignment or posture?
(such as sitting at a computer, biking, or driving)
What sports or physical activities do you currently enjoy?
What are your goals with this work?
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Home
About
Schedule
Treatments & Prices
Gallery
Rolf Method
Posture
Treatments
FAQs
Testimonials
Massage Therapy
Yoga Therapy
Yoga Philosophy
Pranayama
Meditation
Musicians Therapy
Common Injuries
Arm Clinic
Testimonials
Contact
Blog
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