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Comprehensive Health History
&
Movement Assessment
Questionnaire
For all new clients please fill out below
Upon arrival to First Session,
the Practitioner will review your
Comprehensive Health History&Movement Assessment Questionnaire
together.
Submit completed form to: JTempower@gmail.com.
Please be sure to Download the Form
first before entering information.
Information entered from website cannot be saved.
Additional Option:
Print, write and bring in Forms for your Session.
🛡All Information is 100% Confidential🔒
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