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Please fill out the following form to help us understand your physical condition.

Medical Questionnaire

Have you been hospitalized in the last 12 months?
Are you currently suffering from a medical condition, illness, or injury?

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Beauti4body Weightloss Spa 

106 Ponce De Leon Suite B 
Royal Palm Beach, FL  33411 USA

maryann@b4bllc.com

Call or Text 1 (561)-247-0210

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