%PDF-1.4
%
7 0 obj
<>
endobj
8 0 obj
<>>>/Parent 7 0 R/DA(/ZaDb 10 Tf 0 0 0 rg )/AS/Off/F 4/AP<>>>/BS<>/Type/Annot/MK<>>>
endobj
9 0 obj
<>>>/Parent 7 0 R/DA(/ZaDb 10 Tf 0 0 0 rg )/AS/Off/F 4/AP<>>>/BS<>/Type/Annot/MK<>>>
endobj
15 0 obj
<>
endobj
16 0 obj
<>>>/Parent 15 0 R/DA(/ZaDb 10 Tf 0 0 0 rg )/AS/Off/F 4/AP<>>>/BS<>/Type/Annot/MK<>>>
endobj
17 0 obj
<>>>/Parent 15 0 R/DA(/ZaDb 10 Tf 0 0 0 rg )/AS/Off/F 4/AP<>>>/BS<>/Type/Annot/MK<>>>
endobj
22 0 obj
<>
endobj
23 0 obj
<>>>/Parent 22 0 R/DA(/ZaDb 10 Tf 0 0 0 rg )/AS/Off/F 4/AP<>>>/BS<>/Type/Annot/MK<>>>
endobj
24 0 obj
<>>>/Parent 22 0 R/DA(/ZaDb 10 Tf 0 0 0 rg )/AS/Off/F 4/AP<>>>/BS<>/Type/Annot/MK<>>>
endobj
27 0 obj
<>>>/Q 1/P 10 0 R/DA(/TimesNewRomanPSMT 10 Tf 0 0 0 rg )/F 4/AP<>/BS<>/Type/Annot/Ff 0/T(Relationship)>>
endobj
29 0 obj
<>>>/Q 1/P 10 0 R/DA(/TimesNewRomanPSMT 10 Tf 0 0 0 rg )/F 4/AP<>/BS<>/Type/Annot/Ff 0/AA<>/F<>>>/T(Patient Date)>>
endobj
31 0 obj
<>>>/Q 1/P 10 0 R/DA(/TimesNewRomanPSMT 10 Tf 0 0 0 rg )/F 4/AP<>/BS<>/Type/Annot/Ff 0/T(Text1)>>
endobj
33 0 obj
<>>>/Q 1/P 10 0 R/DA(/TimesNewRomanPSMT 10 Tf 0 0 0 rg )/F 4/AP<>/BS<>/Type/Annot/Ff 0/AA<>/F<>>>/T(Therapist Date)>>
endobj
36 0 obj
<>>>/P 10 0 R/DA(/LucidaCalligraphy-Italic 14 Tf 0 0 0 rg )/F 4/AP<>/BS<>/Type/Annot/Ff 0/T(Signature)>>
endobj
37 0 obj
<>
endobj
38 0 obj
<>
endobj
1 0 obj
<>
endobj
3 0 obj
<>
endobj
39 0 obj
<>
endobj
26 0 obj
<>
endobj
40 0 obj
<>
endobj
35 0 obj
<>
endobj
2 0 obj
<>>>/Type/XObject/Filter/FlateDecode/Length 80/Matrix [1 0 0 1 0 0]>>stream
x+TT(T0BK=3=KTp<0,JWp
QЏJtIR04PI**(4*hXhd) A
endstream
endobj
4 0 obj
<>/Type/XObject/Filter/FlateDecode/Length 12/Matrix [1 0 0 1 0 0]>>stream
x+TT
endstream
endobj
5 0 obj
<>>>/Type/XObject/Filter/FlateDecode/Length 81/Matrix [1 0 0 1 0 0]>>stream
x+TT(T0BK=3=STp<0,JWp
QЏJtIR04PI*()*hXhd) M
endstream
endobj
6 0 obj
<>/Type/XObject/Filter/FlateDecode/Length 12/Matrix [1 0 0 1 0 0]>>stream
x+TT
endstream
endobj
11 0 obj
<>>>/Type/XObject/Filter/FlateDecode/Length 78/Matrix [1 0 0 1 0 0]>>stream
x+TT(T0BK=3 abP` E
N!
Q.I
!i@ qC#=Caa4 ;
endstream
endobj
12 0 obj
<>/Type/XObject/Filter/FlateDecode/Length 12/Matrix [1 0 0 1 0 0]>>stream
x+TT
endstream
endobj
13 0 obj
<>>>/Type/XObject/Filter/FlateDecode/Length 79/Matrix [1 0 0 1 0 0]>>stream
x+TT(T0BK=3KTp<0,JWp
QЏJtIR04PI*(Y+*hXhd) =
endstream
endobj
14 0 obj
<>/Type/XObject/Filter/FlateDecode/Length 12/Matrix [1 0 0 1 0 0]>>stream
x+TT
endstream
endobj
18 0 obj
<>>>/Type/XObject/Filter/FlateDecode/Length 81/Matrix [1 0 0 1 0 0]>>stream
x+TT(T0BK=3=KTp<0,JWp
QЏJtIR04PI*(Y+*hXhd) M
endstream
endobj
19 0 obj
<>/Type/XObject/Filter/FlateDecode/Length 12/Matrix [1 0 0 1 0 0]>>stream
x+TT
endstream
endobj
20 0 obj
<>>>/Type/XObject/Filter/FlateDecode/Length 80/Matrix [1 0 0 1 0 0]>>stream
x+TT(T0BK=3=KTp<0,JWp
QЏJtIR04PI**(4*hXhd) A
endstream
endobj
21 0 obj
<>/Type/XObject/Filter/FlateDecode/Length 12/Matrix [1 0 0 1 0 0]>>stream
x+TT
endstream
endobj
25 0 obj
<>>>/Type/XObject/Filter/FlateDecode/Length 22/Matrix [1 0 0 1 0 0]>>stream
x+TTPpuVpb #
endstream
endobj
28 0 obj
<>>>/Type/XObject/Filter/FlateDecode/Length 22/Matrix [1 0 0 1 0 0]>>stream
x+TTPpuVpb #
endstream
endobj
30 0 obj
<>>>/Type/XObject/Filter/FlateDecode/Length 22/Matrix [1 0 0 1 0 0]>>stream
x+TTPpuVpb #
endstream
endobj
32 0 obj
<>>>/Type/XObject/Filter/FlateDecode/Length 22/Matrix [1 0 0 1 0 0]>>stream
x+TTPpuVpb #
endstream
endobj
34 0 obj
<>>>/Type/XObject/Filter/FlateDecode/Length 22/Matrix [1 0 0 1 0 0]>>stream
x+TTPpuVpb #
endstream
endobj
41 0 obj
<>
endobj
42 0 obj
<>stream
Microsoft Word - 00 Dry Needling - Consent form for Patients - heather's version.docx
Owner
endstream
endobj
43 0 obj
<>stream
x+ |
endstream
endobj
44 0 obj
<>stream
x=
`{uIhWA(dJ'E .qI\yaQS+uJnY+&#LN-.`}op9>VygO
y}
endstream
endobj
45 0 obj
<>>>>>>>
endobj
46 0 obj
<>
endobj
10 0 obj
<>/XObject<>/ProcSet[/PDF/ImageC/Text]/Font<>>>/Parent 46 0 R/Rotate 0/MediaBox[0 0 612 792]/Annots[8 0 R 9 0 R 16 0 R 17 0 R 23 0 R 24 0 R 27 0 R 29 0 R 31 0 R 33 0 R 36 0 R]>>
endobj
47 0 obj
<>stream
x]Y$q^:%)CxhlY*܀'p6H?GC3q~JtvD"e"Ha;+__ß_ij?|f9_w?|/O=Kf
Sƣ=c8IOoo=*ʆp=\8}Il:`<ʿ~߾G"Mm
2U/~EC:ȥy31V:3}?kyBOJ~ߩ?>xՓ>lܫ'{&Y=:GN:Q6h}R7gRTmhXso\uR>>ųWނ;}*ڝަx։肆D$]
zSzS&=nTŨe,gPu
Fow̺;vʜ}|rglLR{BT_:1O
I4.h44؈&1C2Eb:$:."lLDkej|NY*bdqƤOxy{ wZG-<@Cg\:};o%ٽ_I?u}̒i<Od>臹N]<}6ׯ6<: k X*sYC\g4Xx,.r%ORb D1I$kp'MȚM
NtGw#D