Health History Submission Form

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(This is a place for you to describe what you want to accomplish working with me. For example, you may want to lose weight in order to run a marathon, compete in a triathlon, or fit into that wedding dress that you’ve always wanted to wear.)
(Here please tell me if you have any health conditions that I should be aware of i.e. diabetes, celiac disease, terminal cancer, etc. Lay it all out for me.)
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