Log In  |  Help  |  Mobile View  
 
Visiting Lenny Papineau's Shares (account name: mrmc_education)
 
 Ferguson's Therapeutic Massage CHAIR MASSAGE
  
 
Sign and Print Name
 Date
5:30
 
 
 
5:40
 
 
 
5:50

 

 

 
4.
 
 
 
5.
 
 
 
6.
 
 
 
7.
 
 
 
8.
 
 
 
9.
 
 
 
10.
 
 
 
11.
 
 
 
12.
 
 
 
13.
 
 
 
14.
 
 
 
15.
 
 
 
16.
 
 
 
17.
 
 
 
18.
 
 
 
19.
 
 
 
 Please read the following statement, then sign and date above to indicate that you have read and understand the statement.
 
The practitioner whose signature appears below is not responsible for the aggravation of conditions that were present, but not disclosed, at the time of the massage and which may be affected by the massage.
 
FERGUSON'S THERAPEUTIC MASSAGE
Brenda Ferguson
133 W. High Street
Elizabethtown, PA  17022
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
.
 
 
 
 
 
 

Creation date: Aug 24, 2011 5:31 pm     Last modified date: Oct 8, 2014 11:23 am   Last visit date: Dec 5, 2016 12:20 pm     link & embed ?...
    Report Objectionable Content   
Select a Color