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Ferguson's Therapeutic Massage CHAIR MASSAGE
 
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 Date
5:30
 
 
 
5:40
 
 
 
5:50

 

 

 
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 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
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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Creation date: Aug 24, 2011 5:31pm     Last modified date: Oct 8, 2014 11:23am   Last visit date: Mar 27, 2024 12:29am
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