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Jill Kelly Medical History Form

Mary Helen Robert Medical History Form

Rachel Sims Medical History Form

Jill Kelly Arbitration, Consent to Treat, & Privacy Practices Agreements

7 Day Food Journal

Compassionate Inquiry Consent Form

Permission to Video/Audio Record Free 20 Minute Compassionate Inquiry

Kindly allow 24-hour minimum notice for change or cancellation of appointment so that others may be served. No shows will owe a fee of $25.00. We absolutely forgive emergencies.

Forms

Jill Kelly Medical History Form

Mary Helen Robert Medical History Form

Rachel Sims Medical History Form

Jill Kelly Arbitration, Consent to Treat, & Privacy Practices Agreements

7 Day Food Journal

Compassionate Inquiry Consent Form

Permission to Video/Audio Record Free 20 Minute Compassionate Inquiry

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