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Please note that all fields are required and you must select both check boxes in order to submit your information.

By checking this box and submitting this form, I understand that Adalina East and Entropy Healing, LLC are here for educational purposes only and I hold harmless both entities. Do not discontinue pharmaceuticals without consulting with your medical doctor first.

If I cancel my appointment with less than 48 hours' notice, I will be charged for a full session.

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