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New Client Health Questionnaire

For all new clients please take 20-30 minutes to thoroughly fill out the Required Form.  The Success of the Gravity Method is based from each persons unique set of circumstances. The detailed Questionnaire was developed from over 34,000 clinical hours case studies.

 

Upon arrival to First Session, the Practitioner will briefly review the Questionnaire together.

Please feel free to submit your questions in the text box below entitled:

For New Clients only 

 

Please Submit completed form to jtEMPOWER@gmail.com.

Your Questionnaire is 100% Confidential.

THE CLINIC

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Soon to be Located at:

Compassion Chiropractic

Wellness Center

16520 Bake Parkway

Irvine, CA 92618

Unit 250

              714-588-9465 appointment 


New Clients: Below may fill in and send for any questions.
To make an Appointment please go to the "BOOK now" at the top of the page.
Thank you. 

Thank you for your Message!

We value and appreciate your interest in the Rest Stop Therapy. We will contact you shortly.

Depending on schedule availability we will always do our very best to get you in as soon as possible!

                                              Deepest gratitude and Good health!

The BOOK: GRAVITY METHOD
COMING SOON!

massage

© 2024 Rest Stop Therapy

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