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Client Intake Form

All information is held strictest confidence. At no given point is information disclosed or shared without your written consent. You may choose to skip answering any question you feel impinges on personal information and you do not wish to disclose.

Our Policies:

Your information remains confidential. Written authorisation is required from you to release any information. Please turn off your cell phone during your relaxation for optimal relaxation. You will be draped and at no time will genitalia or breast tissue be exposed. Your therapist will leave the room in order for you to disrobe to your comfort level. No solicitation of sexual activity will be accepted and you will be asked to leave the premise and will forfeit the cost of your session if this occurs.

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