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A personalized, educated approach to complementary health. |
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Fusion Therapeutics |
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Phone: 512-576-9625
E-mail: randie@roundrockfusion.com |
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Cash or Check Only: No Credit Cards Accepted |
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To save time at your first visit, you can print out this form and have it filled out ahead of time. Please call or e-mail me if you have any questions. |
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This is a quick half page form to update me on your current needs and any health changes since your last visit. |
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All clients under the age of 18 must have their parent or legal guardian sign a release form for them. This can be filled out ahead of time to save time at your appointment. |
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Some clients will need the written consent of their doctor before I can schedule an appointment. This includes some pregnancies, uncontrolled blood pressure, diabetes, and after certain surgeries. This list is not all inclusive and may include other conditions. Please call or e-mail me if you have any questions. |