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Candles

Client Intake Form

Please fill out this form before your scheduled service so that Karen has your health and wellness information before she works on you. Your information will never be shared elsewhere. This may seem like a long form but your honesty regarding your health and wellbeing will help Karen to pinpoint certain areas, as well as avoid certain areas that may have contraindications. This is a judgment free zone.

CIRCULATION & FOOT HEALTH: Choose all that apply
CONTRAINDICATIONS: Choose all that apply
Are you interested in:
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