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Shiatsu Client Intake Form (please "submit" after each section).

Client Information:

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Spouse / Emergency Contact:

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Care Provider:

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Satori YYC

#130, 1439 - 10 Avenue SE, Calgary, AB, T2G 0X1

Email: info@satoriyyc.com  Phone: (403) 796-9057

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© 2011 Satori YYC

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