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Conscious Journey

Massage and MetaPersonal Integrated Therapies

Client Forms

Client Intake Sheet (Please fill out and bring to your first appointment):
client intake

Client Contractual Agreement (Please fill out and bring to your first appointment):
Contractual Agreement

HIPPA Consent (Please read, sign, and bring to your first appointment):
CJ Hippa

Physician Referral Form (Washington office)
(Please ask your physician to fill out and bring to your appointment):
CJ Physician Referral Form-WA

After-Session Self-Care Sheet:
Client Post Session sheet-Web

Contact

Name
Cathy Patillo
Business Name
Conscious Journey
Physical Address
2003 Parleys Canyon Blvd.
Salt Lake City
Utah
84109
USA
Telephone Number
Phone: (801) 864-4545
Email Address
Web Site
http://www.aconsciousjourney.com
Name
Marcus O’Crotty
Business Name
Conscious Journey
Physical Address
2601 East D Street, Suite 306
Tacoma
Washington
98421
USA
Telephone Number
Phone: (253) 261-8312
Email Address
Web Site
http://www.aconsciousjourney.com

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