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Forms
1. Please print out both of these forms (Confidential intake and Informed consent forms)
2. Complete both forms.
3. Bring Completed forms to your 1st session
or
Email completed forms to me at
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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