a patient’s guide
East
an
d N
ort
h H
ertf
ord
shir
eN
HS
Tru
st
Usi
ng
mo
xa
to r
edu
ce t
he
sid
e ef
fect
s o
f ch
emo
ther
apy
Patie
nt In
form
atio
n Se
ries
PI81
2Co
nta
cts
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t an
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me
du
rin
g y
ou
r co
urs
e o
f ch
emo
ther
apy
you
bec
om
e u
nw
ell y
ou
mu
st c
on
tact
on
e o
f th
e n
um
ber
s b
elo
w:
Che
mot
hera
py S
uite
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3
Usi
ng
mo
xa t
o r
edu
ce t
he
sid
e ef
fect
s o
f ch
emo
ther
apy
Co
nte
nts
Con
tact
s 2
Intr
oduc
tion
5W
hat
is m
oxa?
5
How
can
hav
ing
mox
a he
lp m
e w
hile
I am
hav
ing
chem
othe
rapy
? 5
How
do
I use
mox
a?
7G
ettin
g re
ady
to u
se m
oxa
8H
ow d
o I c
arry
out
the
dai
ly p
roce
dure
? 9
Why
is it
impo
rtan
t to
do
this
dai
ly?
10W
hat
time
of d
ay s
houl
d I a
pply
mox
a?
10W
hat
if I m
iss
a da
y?
10Sa
fety
tip
s fo
r us
ing
mox
a 11
Aft
erca
re a
dvic
e 12
Kee
ping
you
r D
aily
Mox
a D
iary
13
Oth
er h
elp
and
supp
ort
14If
you
norm
ally
pay
for
NH
S pr
escr
iptio
ns
14C
onse
nt
15Id
entifi
cat
ion
15
4
Zus
anli
ST-3
6
shin
bon
e
botto
m o
f kne
ecap
little
toe
Illus
trat
ion
adap
ted
from
‘A M
anua
l of
Acu
punc
ture
’ by
Pete
r D
eadm
an a
nd M
azin
Al-K
hafa
ji,
with
Kev
in B
aker
(ww
w.a
man
ualo
facu
punc
ture
.com
). U
sed
with
per
mis
sion
.
5
Intr
od
uct
ion
Mox
a is
an
easy
and
ple
asan
t tr
eatm
ent
that
has
bee
n us
ed
for
cent
urie
s to
impr
ove
heal
th. M
oder
n re
sear
ch s
tudi
es a
nd
clin
ical
pra
ctic
e su
gges
t it
can
be h
elpf
ul f
or p
eopl
e ha
ving
ch
emot
hera
py f
or c
ance
r.
This
leafl
et
is w
ritte
n fo
r pa
tient
s w
ho a
re t
akin
g pa
rt in
the
m
oxa
rese
arch
stu
dy. I
t w
ill h
elp
to r
emin
d yo
u ho
w t
o us
e m
oxa
ther
apy.
Wh
at is
mo
xa?
Mox
a (t
he s
hort
wor
d fo
r m
oxib
ustio
n) is
a t
echn
ique
use
d in
tr
aditi
onal
Chi
nese
med
icin
e. It
use
s he
at t
o st
imul
ate
poin
ts
on t
he b
ody
calle
d ac
upun
ctur
e po
ints
.
The
mox
a st
ick
is m
ade
from
a p
lant
cal
led
‘mug
wor
t’ a
nd is
sh
aped
like
a c
igar
.
Ho
w c
an h
avin
g m
oxa
hel
p m
e w
hile
I am
hav
ing
ch
emo
ther
apy?
Che
mot
hera
py c
an a
ffec
t th
e bl
ood
cells
whi
ch a
re m
ade
in y
our
bone
mar
row
cau
sing
you
r bl
ood
cell
coun
t to
dr
op d
urin
g yo
ur t
reat
men
t. T
his
is c
alle
d bo
ne m
arro
w
supp
ress
ion.
Bloo
d ce
ll co
unts
may
dro
p to
o lo
w if
the
y do
not
hav
e en
ough
tim
e to
mul
tiply
pro
perly
and
for
thi
s re
ason
the
tr
eatm
ent
has
rest
per
iods
. Che
mot
hera
py m
ay h
ave
to b
e de
laye
d if
your
blo
od c
ell c
ount
s ar
e to
o lo
w t
o gi
ve y
our
body
ext
ra t
ime
to r
ecov
er.
6
The
kind
s of
blo
od c
ells
whi
ch m
ay b
e af
fect
ed b
y th
e ch
emot
hera
py a
re:
Wh
ite
blo
od
cel
lsTh
ese
cells
hel
p yo
u to
fi gh
t in
fect
ion.
If y
our
whi
te b
lood
ce
ll co
unt
drop
s af
ter
chem
othe
rapy
, you
are
mor
e lik
ely
to
get
an in
fect
ion
and
your
bod
y m
ay n
ot b
e ab
le t
o de
al w
ith
it no
rmal
ly.
Sign
s of
infe
ctio
n m
ay b
e a
rais
ed t
empe
ratu
re (o
f 38
ºC o
r hi
gher
), sh
akin
g ch
ills,
fee
ling
hot
and
swea
ty o
r a
gene
ral
feel
ing
of b
eing
unw
ell.
If yo
u ha
ve a
ny o
f th
ese
sign
s, c
on
tact
th
e h
osp
ital
im
med
iate
ly a
s a
bloo
d te
st a
nd/o
r an
tibio
tic t
reat
men
t m
ay b
e ne
eded
(see
the
con
tact
det
ails
on
your
Ale
rt c
ard
or
use
the
urge
nt m
edic
al a
dvic
e lin
e nu
mbe
r on
pag
e 2
of t
his
book
let)
. Do
no
t be
tem
pted
to
leav
e th
is u
ntil
the
next
day
.
If po
ssib
le d
urin
g yo
ur c
ours
e of
che
mot
hera
py, t
ry t
o av
oid
peop
le w
ith c
ough
s, c
olds
or
obvi
ous
infe
ctio
ns.
Plat
elet
sPl
atel
ets
help
you
r bl
ood
to c
lot.
If y
our
plat
elet
cou
nt f
alls
, yo
u m
ay n
otic
e th
at y
ou b
ruis
e m
ore
easi
ly t
han
usua
l. Sm
all
red-
purp
le s
pots
may
app
ear
unde
r th
e sk
in, o
r yo
ur n
ose
or
gum
s m
ay b
leed
. Ple
ase
let
your
tea
m k
now
if y
ou e
xper
ienc
e th
ese
sym
ptom
s (s
ee C
onta
cts
on p
age
2 of
thi
s bo
okle
t).
Red
blo
od
cel
lsTh
ese
cells
car
ry o
xyge
n to
all
part
s of
you
r bo
dy. I
f th
ey a
re
affe
cted
by
the
drug
s, y
ou m
ay f
eel t
ired
and
look
pal
e or
you
m
ay b
e sh
ort
of b
reat
h. P
leas
e le
t yo
ur t
eam
kno
w u
sing
the
co
ntac
t nu
mbe
rs o
n pa
ge 2
of
this
boo
klet
. Som
etim
es t
his
may
mea
n yo
u w
ill n
eed
to h
ave
a bl
ood
tran
sfus
ion.
7
Usi
ng m
oxa
ever
yday
may
hel
p yo
u by
:
aidi
ng y
our
body
to
mak
e en
ough
blo
od c
ells
to
red
uce
the
chan
ce o
f th
ose
cond
ition
s
re
duce
oth
er s
ide
effe
cts
such
as
fatig
ue, a
nxie
ty, f
eelin
g lo
w, n
ause
a an
d vo
miti
ng
Ho
w d
o I
use
mo
xa?
Mox
a is
use
d ov
er a
n ac
upun
ctur
e po
int
on e
ach
leg,
ju
st b
elow
the
kne
e, a
s sh
own
on p
age
4. Y
ou w
ill n
eed
to
fi nd
thes
e po
ints
. Mak
e su
re y
ou h
ave
mar
ker
pen
read
y.
To fi
nd t
his
poin
t yo
u w
ill n
eed
to fi
nd y
our
knee
cap
and
shin
bone
. You
r kn
eeca
p is
a b
one
at t
he t
op o
f yo
ur k
nee.
It
is a
bout
tw
o in
ches
in d
iam
eter
. You
r sh
in b
one
is t
he lo
ng
bone
on
the
fron
t of
you
r le
g be
low
you
r kn
ee.
To fi
nd t
he p
oint
on
your
rig
ht le
g, u
se y
our
right
han
d:
Step
1: S
it w
ith y
our
feet
on
the
fl oor
.
Step
2: Y
our
knee
cap
is t
he a
rea
on y
our
knee
tha
t st
icks
ou
t. F
eel d
own
this
to
the
plac
e w
here
it e
nds.
Thi
s is
th
e bo
ttom
of
the
knee
cap
and
belo
w it
the
re is
a s
light
in
dent
atio
n.
Step
3: H
old
your
fou
r fi n
gers
fi rm
ly
toge
ther
and
pla
ce y
our
inde
x fi n
ger
horiz
onta
lly a
cros
s th
e bo
ttom
of
your
kn
eeca
p (F
igur
e 1)
.
Step
4: U
se y
our
mar
ker
pen
to m
ake
a sm
all h
oriz
onta
l mar
k on
you
r le
g lo
ng t
he e
dge
of w
here
you
r lit
tle
fi nge
r no
w s
its.
Figu
re 1
8
Step
5: U
se y
our
inde
x fi n
ger
to r
un d
own
the
shin
bone
to
the
leve
l you
hav
e ju
st
mar
ked.
Rol
l thi
s fi n
ger
to t
he r
ight
and
us
e yo
ur m
arke
r pe
n to
mak
e a
vert
ical
lin
e on
you
r le
g do
wn
the
outs
ide
of
your
fi ng
er (F
igur
e 2)
.
Step
6: T
he p
oint
for
you
r m
oxa
trea
tmen
t is
whe
re t
hese
tw
o lin
es m
eet.
Mar
k th
is
poin
t w
ith y
our
mar
ker
pen
(Fig
ure
3).
Repe
at t
hese
ste
ps t
o fi n
d th
e ac
upun
ctur
e po
int
on y
our
left
leg,
rol
ling
your
left
fi n
ger
to t
he le
ft in
ste
p 5.
Rem
embe
r th
at t
he a
cupu
nctu
re p
oint
on
eac
h le
g is
on
the
sam
e si
de a
s yo
ur
little
toe
, as
show
n on
pag
e 4.
Get
tin
g r
ead
y to
use
mo
xaBe
fore
usi
ng m
oxa
you
will
nee
d to
ha
ve t
he f
ollo
win
g ite
ms
to h
and:
mox
a st
ick
mox
a ex
tingu
ishe
r
m
oxa
light
er
tim
erLi
ght
one
end
of t
he m
oxa
stic
k w
ith t
he li
ghte
r. It
may
tak
e ab
out
a m
inut
e to
bui
ld u
p a
good
hea
t. W
hen
the
stic
k is
co
rrec
tly li
t, y
ou w
ill b
e ab
le t
o ho
ld t
he li
t en
d ab
out
two
to t
hree
cen
timet
res
from
you
r ha
nd. Y
ou w
ill f
eel
a pl
easa
nt r
adia
ting
war
mth
.
Nev
er a
llow
th
ere
to b
e d
irec
t co
nta
ct b
etw
een
yo
ur
skin
an
d t
he
lit e
nd
of
the
mo
xa s
tick
.
Figu
re 3
Figu
re 2
9
Ho
w d
o I
carr
y o
ut
the
dai
ly p
roce
du
re?
Your
mox
a tr
eatm
ent
shou
ld t
ake
less
tha
n 10
min
utes
a
day.
Find
a s
pace
whe
re y
ou c
an b
e co
mfo
rtab
le a
nd w
ill n
ot
be d
istu
rbed
.
Loca
te t
he a
cupu
nctu
re p
oint
on
each
leg.
You
can
mar
k th
ese
with
you
r pe
n. T
he m
arks
may
rem
ain
visi
ble
for
seve
ral d
ays.
Yo
u ca
n us
e th
e pe
n at
inte
rval
s to
kee
p th
e m
arks
vis
ible
.
Ligh
t th
e m
oxa
stic
k. T
est
it, a
nd w
hen
it is
war
m e
noug
h,
set
your
tim
er f
or 3
min
utes
, the
n:
hold
the
mox
a st
ick
over
the
mar
k on
one
leg
– ab
out
two
to t
hree
cen
timet
res
away
fro
m y
our
skin
appl
y fo
r 3
min
utes
(use
you
r tim
er f
or t
his)
if it
feel
s to
o ho
t, m
ove
the
mox
a st
ick
furt
her
from
yo
ur s
kin
it it
feel
s to
o co
ol, m
ove
it cl
oser
to
the
skin
. You
may
w
ish
to c
heck
tha
t th
e m
oxa
stic
k is
giv
ing
off
enou
gh
heat
. If
not,
app
ly t
he li
ghte
r to
it f
or a
bout
a m
inut
eFr
om t
ime
to t
ime,
bru
sh o
ff a
ny a
sh t
hat
form
s on
the
end
of
the
stic
k. D
o th
is b
y ge
ntly
bru
shin
g th
e tip
aga
inst
the
mox
a ex
tingu
ishe
r. Th
is h
elps
the
mox
a st
ick
stay
hot
. The
ash
will
dr
op in
to t
he b
owl s
hape
d cu
p of
the
ext
ingu
ishe
r.
The
sens
atio
n sh
ould
alw
ays
be o
ne o
f a
ple
asan
t,
radi
atin
g w
arm
th.
Aft
er 3
min
utes
, the
ski
n sh
ould
red
den
slig
htly.
Thi
s re
dnes
s w
ill g
o aw
ay s
hort
ly a
fter
the
tre
atm
ent
has
fi nis
hed.
Do
not
incr
ease
the
tim
e to
mor
e th
an 3
min
utes
.
Repe
at t
his
proc
edur
e on
the
oth
er le
g.
10
At
the
end
of t
he s
essi
on, p
lace
the
lit
end
of t
he m
oxa
stic
k in
the
cen
tral
hol
e of
the
ext
ingu
ishe
r. M
ake
sure
th
e m
oxa
is e
xtin
gu
ish
ed.
You
can
re-li
ght
the
mox
a st
ick
for
repe
ated
tre
atm
ents
. O
ver
time,
as
it bu
rns
dow
n, it
will
bec
ome
unco
mfo
rtab
le
to h
old.
Whe
n th
is h
appe
ns, u
se a
new
mox
a st
ick.
Plea
se b
ring
your
bur
nt d
own
stic
ks b
ack
to t
he H
ealth
Im
prov
emen
t Pr
actit
ione
r at
Mou
nt V
erno
n C
ance
r C
entr
e fo
r di
spos
al.
Wh
y is
it im
po
rtan
t to
do
th
is d
aily
?Th
e ef
fect
of
mox
a is
tho
ught
to
peak
at
arou
nd s
ix h
ours
af
ter
trea
tmen
t. It
s ef
fect
sta
rts
to w
ear
off
afte
r 20
hou
rs.
It is
impo
rtan
t to
app
ly it
eac
h da
y to
kee
p th
e ef
fect
as
cont
inuo
us a
s po
ssib
le.
Wh
at t
ime
of
day
sh
ou
ld I
app
ly m
oxa
?Yo
u ca
n ap
ply
mox
a at
any
tim
e of
the
day
. Fin
d a
time
that
su
its y
ou, a
nd t
ry t
o ge
t in
to a
rou
tine.
Thi
s w
ill m
ake
it ea
sier
for
you
to
mak
e su
re y
ou a
pply
it e
very
day
.
Wh
at if
I m
iss
a d
ay?
If yo
u m
iss
a da
y, m
ake
sure
to
carr
y ou
t th
e pr
oced
ure
as
early
the
nex
t da
y as
pos
sibl
e.
11
Safe
ty t
ips
for
usi
ng
mo
xaPl
ease
fol
low
the
se s
afet
y tip
s w
hen
you
use
mox
a:
ther
e sh
ould
nev
er b
e an
y di
rect
con
tact
with
the
ski
n
al
way
s m
ake
sure
to
use
mox
a ov
er b
are
skin
, not
ove
r tig
hts
or c
loth
ing
alw
ays
mak
e su
re s
kin
is c
lean
and
oils
and
moi
stur
iser
s ha
ve n
ot b
een
appl
ied
avoi
d dr
oppi
ng m
oxa
stic
ks, o
r ta
ppin
g th
em w
hen
rem
ovin
g th
e as
h. T
his
can
crea
te s
mal
l hai
rline
cra
cks,
cr
eatin
g a
risk
for
a pi
ece
to f
all o
ff a
nd b
urn
carp
et,
furn
ishi
ngs
or y
ours
elf
neve
r to
uch
the
light
ed e
nd o
f a
mox
a st
ick
even
if it
no
long
er a
ppea
rs t
o be
glo
win
g
us
e th
e ex
tingu
ishe
r to
ext
ingu
ish
the
mox
a. D
o no
t tr
y to
ext
ingu
ish
it us
ing
wat
er
ke
ep t
he m
oxa
and
extin
guis
her
out
of t
he r
each
of
chi
ldre
n an
d an
imal
s
Avo
id u
sing
mox
a at
the
se t
imes
:
befo
re o
r af
ter
a ho
t ba
th
w
ith e
xtre
me
phys
ical
fat
igue
or
emot
iona
l dis
tres
s
if
too
hung
ry o
r to
o fu
ll
af
ter
alco
hol c
onsu
mpt
ion
or d
rug
use
(suc
h as
ve
ry s
tron
g pa
inki
llers
, or
recr
eatio
nal d
rugs
tha
t m
ay in
terf
ere
with
you
r pe
rcep
tion)
12
Aft
erca
re a
dvi
ceIt
is u
nusu
al f
or b
urns
to
occu
r. H
owev
er, i
t is
impo
rtan
t to
kn
ow h
ow t
o de
al w
ith t
hem
.
1. In
rar
e ca
ses,
som
e pe
ople
fi nd
tha
t th
e ar
ea w
here
mox
a w
as a
pplie
d ha
s be
com
e re
d an
d a
little
sor
e af
ter
trea
tmen
t.
This
may
com
e as
a s
urpr
ise,
esp
ecia
lly if
the
y fe
lt no
di
scom
fort
dur
ing
the
trea
tmen
t.
If th
is is
the
cas
e w
ith y
ou a
fter
any
app
licat
ion,
you
may
be
at r
isk
of d
evel
opin
g a
smal
l bur
n. P
leas
e fo
llow
the
se s
impl
e st
eps
to p
reve
nt in
jury
to
your
ski
n:
appl
y co
ld w
et c
ompr
esse
s to
the
are
a. C
ontin
ue t
his
for
10-2
0 m
inut
es. T
his
will
rel
ieve
any
sor
enes
s an
d st
op a
bu
rn d
evel
opin
g
w
hile
you
coo
l the
aff
ecte
d ar
ea, w
rap
up a
nd m
ake
sure
th
at y
ou k
eep
war
m s
o th
at y
ou r
emai
n co
mfo
rtab
le
cove
r th
e bu
rn w
ith c
lean
, non
-fl u
ffy
mat
eria
l to
prot
ect
it fr
om in
fect
ion.
Use
a s
teril
e dr
essi
ng s
uch
as M
elol
in™
, or
cove
r th
e w
ound
with
ord
inar
y ki
tche
n fi l
m2.
If t
he a
rea
is b
urne
d m
ore
deep
ly, b
liste
red
or p
ale
and
blac
kene
d, y
ou w
ill n
eed
to s
eek
som
e m
edic
al h
elp
afte
r fo
llow
ing
thes
e st
eps:
star
t co
olin
g th
e bu
rn b
y ap
plyi
ng c
ompr
esse
s or
ho
ldin
g un
der
runn
ing
wat
er f
or a
t le
ast
10 m
inut
es
co
ver
the
burn
as
deta
iled
abov
e
se
ek m
edic
al a
dvic
e im
med
iate
ly
For
ALL
bu
rns:
do n
ot u
se lo
tions
, oin
tmen
ts, c
ream
s or
ess
entia
l oils
do n
ot u
se a
dhes
ive
dres
sing
s
do
not
bre
ak b
liste
rs
13
IMPO
RTA
NT:
Any
bur
n la
rger
tha
n a
post
age
stam
p re
quire
s m
edic
al a
tten
tion.
All
deep
bur
ns o
f an
y si
ze w
ill n
eed
urge
nt
hosp
ital t
reat
men
t.
Kee
pin
g y
ou
r D
aily
Mo
xa D
iary
Mak
e su
re t
o ke
ep a
n ac
cura
te r
ecor
d in
you
r D
aily
Mox
a D
iary
. Thi
s in
clud
es m
arki
ng a
ny d
ays
that
you
mis
s.
Kee
ping
an
accu
rate
rec
ord
will
hel
p us
ass
ess
the
effe
cts
of u
sing
mox
a.
Plea
se r
emem
ber
to
bri
ng
yo
ur
Dai
ly M
oxa
Dia
ry
and
th
e u
sed
mo
xa s
tick
s to
yo
ur
chem
oth
erap
y ap
po
intm
ents
.
The
Hea
lth Im
prov
emen
t Pr
actit
ione
r w
ill m
eet
you
and
colle
ct t
hem
. She
will
giv
e yo
u th
e ne
xt d
iary
to
com
plet
e,
and
will
giv
e yo
u m
ore
mox
a st
icks
if y
ou n
eed
them
.
Ad
dit
ion
al s
up
po
rtW
e ha
ve a
lso
mad
e a
shor
t vi
deo
dem
onst
ratin
g ho
w
to u
se m
oxa.
This
can
be
view
ed a
t th
e fo
llow
ing
url:
ww
w.y
outu
be.c
om/w
atch
?v=
KK
tTvH
PGzy
Y&
feat
ure=
yout
u.be
A li
nk t
o th
is c
an b
e fo
und
on t
he R
esea
rch
page
s of
the
LJ
MC
web
site
: at
ww
w.lj
mc.
org
OR
plea
se a
sk f
or a
DV
D o
r us
b m
emor
y st
ick
If y
ou
hav
e an
y q
ues
tio
ns,
ple
ase
con
tact
:C
lare
Sca
rlett
, Hea
lth Im
prov
emen
t Pr
actit
ione
r, Ly
nda
Jack
son
Mac
mill
an C
entr
e: t
el: 0
20 3
826
2561
14
If y
ou
no
rmal
ly p
ay f
or
NH
S p
resc
rip
tio
ns
Peop
le u
nder
goin
g tr
eatm
ent
for
canc
er d
o no
t ha
ve t
o pa
y N
HS
pres
crip
tion
char
ges
if th
ey h
ave
a va
lid m
edic
al e
xem
ptio
n ce
rtifi
cate
. To
get
an e
xem
ptio
n ce
rtifi
cate
, ask
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r G
P fo
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.
Oth
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elp
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d s
up
po
rtTh
e Ly
nda
Jack
son
Mac
mill
an C
entr
e (L
JMC
) off
ers
info
rmat
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and
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ort
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atie
nts
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mili
es a
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cate
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xt t
o C
hem
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rapy
Sui
te b
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at
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art
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the
y ex
perie
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of e
mot
ions
. Man
y fi n
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e a
stre
ssfu
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xiou
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elax
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15
Co
nse
nt
It is
a le
gal r
equi
rem
ent
to h
ave
a si
gned
con
sent
for
m
from
you
bef
ore
the
star
t of
you
r tr
eatm
ent.
If yo
u ha
ve a
lread
y be
en g
iven
one
of
thes
e fo
rms,
ple
ase
brin
g th
e co
mpl
eted
for
m w
ith y
ou w
hen
you
com
e fo
r yo
ur fi
rst
appo
intm
ent.
If yo
u ha
ve n
ot b
een
give
n a
form
, thi
s w
ill b
e di
scus
sed
with
yo
u at
you
r fi r
st a
ppoi
ntm
ent.
Iden
tifi
cati
on
Plea
se n
ote
that
it is
a le
gal r
equi
rem
ent
for
the
staf
f to
che
ck
your
nam
e an
d de
tails
aga
inst
you
r tr
eatm
ent
reco
rds
ever
y tim
e yo
u at
tend
.
This
pub
licat
ion
has
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duce
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Info
rmat
ion
team
at
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on M
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C o
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