Arvigo® Techniques of Maya Abdominal Therapies-Confidential Intake Form
This is a comprehensive intake form to be completed prior to your initial session. Please complete the sections applicable to you and submit! This form is covered under HIPAA regulations via G Suite...your privacy is important to me!
Please note that possible contraindications to this session include: current infection, presence of an IUD, recent surgery, currently menstruating, active cancer, some conditions that classify a pregnancy as high risk, anything contagious. This treatment is not a substitution for qualified health care, so please use good judgement for your health and safety. Contact me directly at
or 512-919-0132 for specific questions.
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This form was created inside of Awakened Nature Massage Therapy.