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Below is a link to the Intake form. Please click on the link, download the file to your computer and print it. Fill out the form and bring it to your first appointment to save you time. Thank-you.

Intake Form - 6 pages - (Microsoft Word)

Intake Form - 6 pages - (Adobe Acrobat, PDF)

 

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2006 Pinkham Medical Sytems
 
   
 
[-]Body Centered Therapies - 2170 Riverside Dr. Columbus, OH 43221-4053 Tel. (614) 486 7525
 
   
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