Check in (Service Preference Form)

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4 Terms

1
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Have you had any medical or preference updates? No.

Please initial and sign here to consent to today’s service.

2
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Have you had any medical or preference updates? Yes.

This is your service preference form, this goes over your preferences in the service…Now, just initial & sign to consent to your service.

3
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Preferences part of form

This lets you know that you can control the lighting in the room, volume of the music, temperature of the table, and firmness.

4
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Services part of form

This is asking for consent to the gluteal portion of the massage for lower back pain & siatica, it is preformed over the sheet. It is also letting you know that there is an attention button under the right-hand side of the table.