Biomechanical
Communication
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Email: matjapan@gmail.com
  Phone: 66-99-362-1005 . Line . WhatsApp . WeChat

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Biomechanical Communication (BMC)

Muscle Activation Techniques (MAT)
Resistance Training Specialist (RTS)
Rolfing
Acupuncture
Active Isolated Stretching (AIS)
Massage



MAKE APPOINTMENT

1. Please wear a comfortable outfit or bring a wrap.

2. Please wear a bathingsuit if you want to photograph your posture.

3. Cancellation must be 24 hours BEFORE session or a CANCELLATION FEE will be charged for the amount of session.

4. Read and agree to the Treatment Agreement.

 

Email the following information to: matjapan@gmail.com

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Patient Name:

Address1:
Address2:
City:
Zip/Postal Code:

Email:

Daytime Phone:
Evening Phone:

Time Preference:
1st Choice:
2nd Choice:

Were you Referred?
By Whom:

New or Existing Patient:

Goal of treatment:
Describe any discomfort:
How long have you had these symptoms?
Describe any history of illness or family illness:

Any questions?

I agree to the Treatment Agreement: Yes
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