Bowen Therapy New Client Form Page 3

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Please explain any condition that you have marked above:
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15. Is there anything else about your health history that you think would be useful for your bowen
practitioner to know to plan a safe and effective session for you?
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Please note: We do require a reasonable period of notice if you need to reschedule or cancel your
appointment, so that we can offer your appointment time to someone who really needs it. Any patient
who has missed or cancelled an appointment and not advised us within 24 hours prior to the
appointment will be required to provide 50% of full payment for their booked service.
 I wish to receive newsletters from Mura Pathway to Wellness about workshops, new products and any
relating news.
Signature of client: _________________________________________ Date: ____________________

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