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    NEW CLIENT FORM
    (Please fill out and bring to your first appointment)

    Physician Permission Form
    (For prenatal/postnatal & oncology clients - Please have your doctor fill out this form prior to your appointment)

    GET IN TOUCH

    a lil peace_white.png

    Hiromi Wada, LMT, MLD-C

    alilpeacehealing@gmail.com

    917-443-6715

    (call or text - best way to reach me)

    HOURS OF OPERATION:

    Monday thru Friday: 9 am - 2 pm

    BY APPOINTMENT ONLY

    (Weekend/Evening Hours may be available - Please contact me)

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    Payments Accepted: Cash/Check/Zelle

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    OFFICE LOCATION: 482 Kinderkamack Rd River Edge, NJ 07661  (Inside BKS Hair Salon in Kress Plaza)

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