
DANIELLE CROFT
Acupuncture
Registration Form For New Clients
Please complete a registration form before our telephone consultation
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Apologies, this form format is a little clunky, I will be making a better version. Any problems, let me know! You'll find the downloads below.
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Option 1) Print it out and complete by hand, take a clear photo of each page and pop the images in an email to me. (bring the original when you come in)
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Option 2) Download the Microsoft Docx file and edit it directly in Microsoft Word on your PC and email the document to me.​
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Option 3) Download the PDF version and edit it using a Mark Up feature on your phone or other app, and email it to me (this option is the most difficult and fiddly).
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Option 4) Ask me to post a paper copy out to you. You can either post it back, or send me the photos once comple​ted.
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