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Profile

Join date: Jan 16, 2023

About

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Overview

First Name
CJ
Last Name
Anderson
Email
cj.ande@icloud.com
Phone
2096628823
+12096628823
Birthdate
10/9/1961
Emergency Contact
Ashlee Gonzales
Emergency Contact Phone
2097705333
How did you hear about us?
Referred to you by client Ashlee Gonzales
Can we contact you for promos?
Yes
Medical Conditions
N/A
Chronic Medical Conditions
N/A
Hearing aid, pacemaker?
N/A
Hormone Pellets/Metal implants
N/A
Cancer in last 12 months
N/A
Chemotherapy Currently?
N/A
History of Colon Problems
N/A
Known Allergies
N/A
Medications Taken Regularly
Blood pressure x1 daily
Additional Medications
N/A
Recent Surgery in 6 months
N/A
Pregnant or Trying
N/A
Breastfeeding
N/A
Primary Area of Concern
Mid/lower stomach buttocks
Area you want to lose body fat
Yes
Cellulite Reduction?
Yes
Which Area Needs Tighteni
All
Regular Exercise/What Type
Walking
Monthly Alcohol Consumption
None
Daily Water Intake
64oz
Diet Plan
Low carb
Client Consent Form
Yes
Photo and Video Release
Yes
Appointment Cancellation Polic
Yes
Covid-19 Liability and Waiver
Yes
Consultation
Pending

CJ Anderson

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