Shiatsu practice - treatment form Date treatment: Name: Birthday: Age: Married: Children: Profession: Medication: Side-effects: Particulars: BO-SHIN position - head/eyes/cheeks/etc. - shoulders/arms/hands - body - legs/feet - colour - tongue MON-SHIN/BUN-SHIN voice/breathing/story/element-emotion/history Dutch School for Classical Shiatsu Page: SETSU-SHIN Street: Postal code: Place: Practitioner: Signature client: touch, diagnosis/abdomen/manipulations/meridians/treatments
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Shiatsu practice - treatment form
Date treatment:
Name: Birthday: Age:
Married: Children:
Profession:
Medication:
Side-effects:
Particulars:
BO-SHIN
position - head/eyes/cheeks/etc. - shoulders/arms/hands - body - legs/feet - colour - tongue
MON-SHIN/BUN-SHIN
voice/breathing/story/element-emotion/history
Dutch School for Classical Shiatsu Page:
SETSU-SHIN
Street:
Postal code:
Place:
Practitioner: Signature client:
touch, diagnosis/abdomen/manipulations/meridians/treatments
Shiatsu practice - after treatment
Date treatment:
Name:
BO-SHINposition - head/eyes/cheeks/etc. - shoulders/arms/hands - body - legs/feet - colour - tongue
MON-SHIN/BUN-SHIN
voice/breathing/story/element-emotion/history
Dutch School for Classical Shiatsu Page:
SETSU-SHIN
Practitioner: Signature client:
touch, diagnosis/abdomen/manipulations/meridians/treatments
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