Planilla Paciente

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PLANILLA PACIENTE - SEGUIMIENTO

Fecha de consulta:___________________________
Nombre:_____________________________________________ Edad:__________ Contacto:__________________

Experiencia con Reiki:_____________________________________________________________________________


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Motivos de la consulta:___________________________________________________________________________
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Síntomas físicos y emocionales: ___________________________________________________________________


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Pensamientos recurrentes:_______________________________________________________________________
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D. Médico: _______________________________________________________________________________________
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Biodecodificación diagn.médico:__________________________________________________________________
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DÍA 1

Terapias utilizadas:_______________________________________________________________________________

Comentarios:_____________________________________________________________________________________
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