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Forms
1. Please print out both of these forms (Confidential intake and Informed consent forms)
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2. Complete both forms.
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3. Bring Completed forms to your 1st session
or
Email completed forms to me at
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We will go over your intake form during your first session. This time is not charged for.
Confidential intake form
Informed consent form

Susan Chapman LMT,CST.
Lic.-OR23807
14242 SE Main ST
Portland, OR 97233
503.660.3275
womanwisemassage@gmail.com
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