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Tell me about you 

Before embarking on your rejuvenating intuitive experience, we prioritize your health and safety. Please take a moment to complete this Health Declaration form. Your honest and thorough responses will ensure that Therese can tailor your session to your specific needs, keeping your well-being at the forefront. Your comfort and safety are our utmost priorities, and this declaration allows us to provide you with the best possible therapeutic experience. Thank you for your cooperation, and we look forward to enhancing your journey to wellness.

Health and Wellness Declaration
Have you been hospitalized in the last 12 months?
Are you suffering from a medical condition, illness, or injury?

Thanks for submitting!

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