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Intake Form: Best Couples Massage Program

​​The purpose of this form is to collect information so Dr. Allan can create a more personalized massage program for you. This form is strictly confidential, and all information collected will be kept private by Dr. Allan. It will be necessary to complete and submit this form before you start the program. I will also need your partner to fill out a separate intake too. If you have any problems submitting this form, make sure all questions with a red asterisk are answered.   

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