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Initial Visit

Note: If you sign up to receive the newsletter from this website you will receive a £10 voucher which you can use to offset your next treatment.

Please print out the form below (click on each link first then print), fill the form out and bring it in with you on your initial visit.


Patient Intake Form

Things to consider before arriving for treatment

  • Make sure to eat something light an hour or two before arriving
  • Try to avoid the intake of caffeine or pain medications
  • Wear loose fitting clothes
  • Bring a list of medications you are taking


Copyright 2012, Charmaine Shepherd, MBAcC, All rights reserved
Centre for Holistic Health, 5A York Place, Edinburgh, Scotland, UK EH1 3EB, (0131) 556 8440, charmaine@acuhealthuk.com
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