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Hands-on Healthcare B&W Letterhead Template 2025

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51 votes

The document is a new patient intake form for a massage therapy clinic, collecting personal, healthcare, and health information from patients. It includes sections for personal details, health complaints, medical history, symptoms, and consent for treatment. Additionally, it outlines the fee schedule for various treatment durations and policies regarding missed appointments.

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Versions	Form popularity	Fillable & printable
2014	4 Satisfied (51 Votes)

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