Client Intake Form

INTRAMUSCULAR NUTRIENT INJECTION INTAKE FORM

Client Name *
Client Name
Today's Date
Today's Date
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Address
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Phone
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Date of Birth
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Benefits of Nutrient Injections
More energy, mental awareness and stamina for everyday tasks Healthier Immune Systems Improved Sleep Increases Metabolism, thereby aiding in weight loss Reduces allergies, stress and depression Improve mood stimulation Lessens frequency and severity of migraines and headaches Helps lower homocysteine levels in the blood