Specials & Gift Cards
64 E Swamp Road, Doylestown, PA 18901215-230-3487

New Client Form

If you are a new client, please fill out the below form
prior to your visit. Thank you.

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Are You Currently Under a Doctor's Care For Any Kind of Medical Treatment?
Are You Using Any Oral or Topical Medications?

I understand that Serenity’s therapists do not diagnose medical conditions. I certify that I have given a complete and accurate medical history and will inform my therapist if any changes in my condition occur. I understand that the modalities used by my therapist are meant to reduce stress, tension and pain but do not replace medical treatments. We reserve the right to charge stated rates for any treatment scheduled if the appointment is missed without notice at least 24 hours in advance, and to refuse scheduling of new treatment to any individual who fails to pay for such missed appointments.

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