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www.HealthAndWellnessWithClaudia.com

401-580-0666

All Client information is confidential

© 2016 by CLAUDIA WOJCIK

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Please Take a moment to either download your Client Form, fill out and submit or print your Client Form, fill out and personally bring to your appointment.  Thank you very much for your time and consideration!

Many Blessings!

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One form for all services ~  Please add anything extra you may think is imortant- allergies, injuries, dis-ease, feeling good, etc.!!