Intake Form | Bodymind

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BODYMIND BY NICOLE

Serving OC & LA

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Intake Form & Agreement

Let's get you booked!

First name

Last name

Email

I am not experiencing - fever, cough, sore throat or any other signs of potential illness coming on.

I understand that NO inapproproate behavior will be tolerated, privacy draping is required & I agree to remain professional.

I understand the Cancellation Policy and agree to oblige. (See directly below)

Initials

Date

I declare that the info I’ve provided is accurate & complete

©2021 by Bodymind By Nicole

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