Dear Client, we would like to assist you to book appointment as fast as we can, to do so, we recommend that you may take 5 minutes to fill in the Client Intake Form to let our professional therapists understand your situation and submit the form once completed. Our Customer Service Team shall contact you and arrange the appointment for you within 12 hours.
Thank you for your cooperation and patience!
客户个人资料 Client Information Details
个人医学病历 Medical History
疗程详情 Therapy Session Details
What goals or results do you hope to achieve through this treatment? Kindly list down your desired goals in order of priority.
Signature of Parent / Guardian (if the client is under the age of 18)