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  • Sound Therapy Massage

    07980817790  |   www.zogiyoga.com   |   info@zogiyoga.com

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  • New Client Form

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  •  -
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  •  /  / Pick a Date
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  •  -
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  • Please Run the Wizard
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  • Medical History: If you have experienced any of the symptoms that are marked with an asterisk (*), please call to discuss your medical history before booking an appointment; this is to ensure your safety and well-being. 

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  •  
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  • Cancellation Policies

     

    100% Full Payment is required for the following conditions: 

    • No Show : If you do not show up for an appointment, you will be charged the full cost for the appointment. Payment is due before your next appointment.
    • Late Arrival : If you are late to your session you are welcome to receive whatever time is left in your appointment. Due to our tightly booked schedule we are generally unable to extend your session beyond your original appointment time. Regardless of the length of the service actually given, you will be responsible for payment of the full service you scheduled. Please plan to arrive 5 minutes early for your appointment.

     

    50% Payment is required for the following condition: 

    • Last-Minute Cancellation/Reschedule:  Failure to cancel or reschedule your appointment  at least 24 hours in advance will result in a charge of 50% of the scheduled appointment fee. Payment is due before your next appointment. 

     

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  • Smoke-Free Policy

    Smokers are asked to please shower before your appointment and avoid smoking until after your appointment; this helps us avoid the smell of smoke in our office, which triggers migraines and asthma attacks in our most sensitive clients, especially children.

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  • Sickness Policy

    Please reschedule your appointment as soon as you are aware of an infectious or contagious condition. 

    If you arrive for your appointment with symptoms of an illness, you will kindly be asked to reschedule your appointment to avoid the spread of germs. This protects are most susceptible loved ones - children, the elderly, & people with suppressed immune systems, like cancer patients. 

    If any of the following describes you, I kindly ask that you reschedule your appointment so we can prevent the spread of bugs: 

    • Fever or Chills
    • Vomiting or Diarrhea 
    • Runny Nose 
    • Sore Throat or Cough
    • You are currently taking an antibiotic. 
    • You have a skin infection like ringworm or athletes foot. 
    • You or someone in your direct care has a cold, sinus infection, or flu bug.
    • You or someone in your direct care has been diagnosed with influenza (the flu).

    Even if you are cancelling your appointment within the 24-hour notice period, the cancellation fee may be waived; the onset of symptoms doesn't always have great timing, right?

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  • Informed Consent

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  • By typing my first name, last name, and providing my e-signature below, I am indicating the following: 

    1. I have read the New Client Intake Form for ZOGI in its entirety. 

    2. I fully understand all questions and information provided in the New Client Intake Form for ZOGI. 

    3. I have completed the New Client Intake Form for ZOGI accurately and to the best of my knowledge. 

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  •  -  - Pick a Date
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  • Please Run the Wizard
  • Should be Empty:
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