ࡱ> xzstuvw%` \bjbj"x"x 4@@,Z Z Z n +++8*,$N,\n ,004000444$KhıZ &{744&{&{ı00Mٱ&{P0Z 0&{* hZ 00 3/\+v~N0LNGVGGZ  4 N`\]n 444ııJj444&{&{&{&{n n n !+n n n +n n n   Life In Balance Ayurvedic Rejuvenation Center confidential client History Life In Balance Ayurvedic Rejuvenation Center __________________________________________________________________________________ 1. Intention of Program: To educate you about your individual constitution and assist you in bringing yourself back to balance and harmony with the laws of nature. As you begin to move towards balance, you become more conscious and your natural, innate intelligence wakes-up, you begin to naturally make choices that are nurturing, healing, and balancing. You will be educated and empowered to take charge of your own health, and begin to develop the awareness to bring balance and health to each moment of your life, restoring you to your true joyful nature and present to the beauty and magic of life. 2. Outline of Services: 1 1/2 hour Consultation; an opportunity to assess your current physical, mental and spiritual routines, your prakruti (fundamental state of balance) and your vikruti (current imbalance). I will begin to educate you on your individual constitution and the basics of Ayurveda. You will be introduced to new practices as part of your plan for achieving balance. Practices may include meditation, yoga, dietary adjustments and breathing exercises all designed to further your education, awareness and ability to bring balance to your life. Periodic 45 min. follow-up sessions will be recommended to monitor and support your progress. In this way you can integrate lifestyle changes over time and we can make any adjustments needed in your program. 3. Ayurveda is not about instantaneous results, although you will see many immediate benefits. In accordance with the laws of nature, it will take time to gently restore full balance. Life is dynamic and we are part of life. We continually need to modify our lifestyle to the changing seasons, emotions, stresses etc. to achieve balance. Ayurveda is not a passive form of therapy but rather asks each individual to take responsibility for his or her own daily living. Using the ancient wisdom of Ayurveda I will educate, empower and support you as a dynamic individual, but it is up to you to bring this into your daily life. It is a simple, natural science that takes time, as it takes time for the stream to wear the stone smooth, but gently, over time it changes form completely. It is amazing the difference a small adjustment in your diet or lifestyle can make to create greater well-being. I am excited and honored to assist you in discovering your uniqueness and create a balanced life with radiant health and a peaceful mind. 4. Requirement of Client: A. 24-Hour Cancellation Notice. Less than 24 hours notice will require a $25.00 rescheduling fee. B. Payment of Ayurvedic Consultation is $185.00. Payment is expected in full during our initial Ayurvedic Consultation. Client Signature: ___________________________________ Ayurvedic Practitioner: ___________________________________ Please take quiet time and space to answer these questions. Take this as an opportunity to bring awareness to areas of your life that may need more loving attention. Use a separate sheet of paper if needed. 1. What are you currently doing in your life that brings you peace, health, balance and/or nurtures your soul? 2. What would you like to get out of the Ayurvedic Consultation? a) b) c) 2. Where in your health, life, and relationships (to self and others) do you experience a lack of freedom, balance, and joy? 3. Which areas in your life are you most interested in bringing balance to? 4. If you achieved a perfect state of health, which is balance between your fundamental energies, or doshas and your body, mind and soul or consciousness, what would your life look like? How would you feel? What would you be doing? What would be different? Paint a picture for yourself. 5. What results do you want to produce in your physical body? 6. What results do you want to produce in regards to your mental and emotional well-being? Do you find yourself anxious, stressed, depressed, or easily brought to annoyance or anger? 7. What do you want your spiritual life to look like? 8. How can I best support you in achieving the health, vitality, and balance you want in your life? 9. What would you have to give up to have the results you want? 10. Where do you go, what does it look like when you get resigned or go down the deep dark tunnel of despair?  CHIEF HEALTH CONCERNS What are your main health concerns at this time? Order by importance to client. PRIMARY CONCERNSClinician NOTES1. 2. 3. 4. 5. 6. PAST MEDICAL HISTORY Include major conditions, dates of treatment and procedures performed. 1. Serious illnesses: 2. Hospitalizations: 3. Operations: 4. List other pertinent past conditions: 5. Have you been under the care of a licensed health care professional in the past year? (Yes (No If so, for what reasons: 6. Is there any possibility that you are pregnant? ( Y ( N FAMILY HISTORY Please check the appropriate boxes and indicate family member. ( Cancer( Diabetes( High Blood Pressure( Heart Disease( Stroke( Mental Disorder( Other (explain)( Other (explain) CURRENT MEDICATIONS, HERBS OR SUPPLEMENTS What medications, herbs, supplements are you currently taking? Please include significant remedies that you have recently stopped taking.  Page a b c d daily routines To be filled out by client DAILY SCHEDULE (include approximate times) 1. Describe your activities from the time you wake up until you go to sleep. (Eating, sleeping, exercise, work, activities). TimeActivitiesMorning VARIATIONSAwakenBreakfastActivitiesMid-day Lunch ActivitiesEvening SupperActivitiesNight ActivitiesBed-time 2. List regular practices that are not included in the above schedule, e.g., exercise, meditation, spiritual practices, etc. 3. Are you sexually active? Y ( N ( Frequency? 4. Other comments about daily routines: 5. What types of food(s) are eaten on a regular basis? BREAKFAST: LUNCH: DINNER: SNACKS: 6. Are there any routines around eating: 7. Any current or past problems with chronic eating disorders or other food related issues? ( Y ( N ALLERGIES OR SENSITIVITIES 8. Do you have allergic reactions to any substances? If yes, please list.  GENERAL HEALTH HABITS 9. How many cups of caffeinated beverages do you drink per day? # ______________________________ Type(s) of beverage: coffee/tea/soda 10. How many cups of non-caffeinated beverages do you drink per day? # ________________________ Type(s) of beverage: herbal tea/milk/juice/other _________________________________________ 11. How much water do you drink per day?__________________________________________________ 12. Do you exercise regularly? ( Y ( N Length of time: ______________________________________ Times per week: ___________________________Type(s) of exercise: _______________________ ________________________________________________________________________________ 13. If you smoke, how many cigarettes do you smoke per day? ______Have you ever smoked? ( Y N ( Amount/day: ____________ When quit? ______________________________________________ 14. If you drink alcohol, how many glasses of alcohol per week? (Include beer, wine, liqueurs and hard liquor) # _________________per week Type(s) of beverage:_________________________________ 15. Any current or past problems with addiction or substance abuse? ( Y ( N Substance: _______________________________ Amount: _________ When quit? __________ 16. Please describe current digestive patterns (i.e. regular/irregular B.M., diarrhea, constipation, indigestion, strong/dull appetite): __________________________________________________________ ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 17. Body temperature: Do you generally run warm or cold? Please explain: _______________________ ____________________________________________________________________________________ Review of Symptoms Check all symptoms that are of concern to you at this time that you want to discuss with the practitioner. Please indicate any area in which you have experienced a severe episode and indicate if episode was in previous 6 months or prior to 6 months time. Concern OfficeHEAD Concern OfficeMOUTHHeadachesExcessive thirstDizzinessLoss of tasteFainting spellsStrange tasteLoss of balanceBad breathDifficulty rememberingLip ulcers or lesionsDifficulty thinking clearlyDry/cracking lips Thinning or loss of hairTongue painBleeding gumsReceding gums Concern OfficeEARSTooth painHearing lossTMJRingingEarachesPainDischarges Concern OfficeNECKBleedingPainSwollen glandsLumps Concern OfficeEYESStiffnessPainsoreness in eyesRednessBurning Concern OfficeCHESTMucousPain in chestDrynessTightness/pressure in chestItchingHeart palpitationsTic/twitchShortness of breathBlurred/loss of vision Painfuldifficult breathingPersistent coughFrequent chest coldsConcern OfficeNOSE Concern OfficeSKINLoss of smellDryflakeyBleedingRashesPainBlistersDischargeAcnePost-nasal dripChanging or bleeding molesSinus CongestionResponse to insect bites Concern OfficeDIGESTION Concern OfficeCIRCULATIONPainVaricose veinsBurning indigestionCold handsfeetBelchingSwollen anklesRegurgitationCalf painVomitingPuffy eyesExcessive GasHeavyBloaty after eatingHemorrhoids Concern OfficeFEMALE SYSTEMConstipation (< 1 BM/day)Irregular cycleDiarrheaHeavy/prolonged bleedingBoth constipation & diarrheaMissed mensesBloody StoolPainful mensesSpottingDischarge Concern OfficeURINARYPMS symptomsLoss of urination controlPregnantPainful urinationMiscarriageUrine retention, dribblingInfertilityDaytime urination oftenGenital soresNighttime urination oftenOvarian cystBlood in urineFibroidsPain in kidney/groin areaKidney/bladder infections Concern OfficeBREASTSSwellingRedness Concern OfficeMUSCLES&JOINTS LumpsSwelling in jointsNipple dischargePain/ache in jointsTendernesspainStiff jointsPersistent muscle/bone painsTremors/tics in muscles Muscle weakness/atrophy Concern OfficeMALE SYSTEMProstate gland swollen/painfulLow sperm count Concern OfficeNERVESLow motilityLoss of taste, smell or touchGenital sores or lesionsTingling sensationsGenital dischargeTremors in limbsErection difficultyUncoordinated muscle/limbs      PAGE  PAGE 1 Life in Balance Ayurvedic Rejuvenation Center 418 N. 35th St. Seattle, WA 98103 (206) 547-1330  HYPERLINK "http://www.ayurvedaseattle.com" www.ayurvedaseattle.com info@ayurvedaseattle.com Name of substance: ( Prescription ( over-the-counter ( herbal ( vitamin ( other Who recommended/prescribed it? Purpose of substance: How long have you been taking it: In what form do you take it (include dosage): How often do you take it? What effects have you noticed? Name of substance: ( Prescription ( over-the-counter ( herbal ( vitamin ( other Who recommended/prescribed it? Purpose of substance: How long have you been taking it: In what form do you take it (include dosage): How often do you take it? What effects have you noticed? Name of substance: ( Prescription ( over-the-counter ( herbal ( vitamin ( other Who recommended/prescribed it? Purpose of substance: How long have you been taking it: In what form do you take it (include dosage): How often do you take it? What effects have you noticed? Financial Policy Agreement The Center does not bill insurance companies for services. Panchakarma services may be recommended and provided at the Center. Half of payment for those services is due to the Center when the appointments are scheduled. If you miss an appointment with your clinician without giving 24 hours notice, a $25 fee is charged to your account. I have read and understood the financial policies of Life In Balance Rejuvenation Center. Clients Signature: Date: Clients Name: Clients Address: City, State, Zip: TelephoneHome: Work: E-mail: Birth date: Birth place: ________________ Age: Time of birth: ______________________ Place of childhood: ________________________________ Marital/partner status: # of children: Ages: Occupation: ________________________ Blood type: ________ Height: _________ Weight: ______ How did you hear about Life in Balance? : ________________________________________________ INFORMED CONSENT to receive Alternative Health Care through the Life In Balance Rejuvenation Center All clients who participate in Ayurvedic health care should be advised of the following: 1. The goal of all programs is to create within your body and mind an optimum environment for healing to take place and to maximize your body's ability to heal itself using the principles of Ayurveda. Our mission is to empower and educate people to create and take charge of their own health, such that you are energized, joyful and present to the beauty and magic of life. 2. The Life In Balance Rejuvenation Center is not a primary care medical clinic. 3. Not all our clinicians are trained in Western medical diagnosis or treatments. 4. If you are suffering from a disease or symptom that has not been evaluated by a medical doctor or another licensed health care professional, you must be evaluated by a medical doctor. If you choose not to see a medical doctor, you will have to sign an acknowledgment that one was recommended to you. 5. I give permission for the Rejuvenation Center to use the information in my chart for research purposes. (Any publication of our research will not include patient names.) I have read and understand the above information. Client's Signature: ______________________________________________Date: ___________ All clients who participate in Ayurvedic health care should be advised of the following: 1. The goal of all programs is to create within your body and mind an optimum environment for healing to take place and to maximize your body's ability to heal itself using the principles of Ayurveda. 2. The Medical Ayurveda Rejuvenation Center is not a primarycare medical clinic. 3. Not all our clinicians are trained in Western medical diagnosis or treatments. 6. If you are suffering from a disease or symptom that has not been evaluated by a medical doctor or another licensed health care professional, you must be evaluated by a medical doctor. If you choose not to see a medical doctor, you will have to sign an acknowledgment that one was recommended to you. 7. Clinicians working for the Medical Ayurveda Rejuvenation Center may alter your prescriptions without approval from your medical doctor. 8. I give permission for the Medical Ayurveda Rejuvenation Center to use the information in my chart for research purposes. (Any publication of our research will not include patient names.) I have read and understand the above information. Client's Signature: ______________________________________________Date: ___________ All clients who participate in Ayurvedic health care should be advised of the following: 1. The goal of all programs is to create within your body and mind an optimum environment for healing to take place and to maximize your body's ability to heal itself using the principles of Ayurveda. 2. The Medical Ayurveda Rejuvenation Center is not a primarycare medical clinic. 3. Not all our clinicians are trained in Western medical diagnosis or treatments. 6. If you are suffering from a disease or symptom that has not been evaluated by a medical doctor or another licensed health care professional, you must be evaluated by a medical doctor. If you choose not to see a medical doctor, you will have to sign an acknowledgment that one was recommended to you. 7. Clinicians working for the Medical Ayurveda Rejuvenation Center may alter your prescriptions without approval from your medical doctor. 8. I give permission for the Medical Ayurveda Rejuvenation Center to use the information in my chart for research purposes. (Any publication of our research will not include patient names.) I have read and understand the above information. Client's Signature: ______________________________________________Date: ___________ All clients who participate in Ayurvedic health care should be advised of the following: 1. The goal of all programs is to create within your body and mind an optimum environment for healing to take place and to maximize your body's ability to heal itself using the principles of Ayurveda. 2. The Medical Ayurveda Rejuvenation Center is not a primarycare medical clinic. 3. Not all our clinicians are trained in Western medical diagnosis or treatments. 6. If you are suffering from a disease or symptom that has not been evaluated by a medical doctor or another licensed health care professional, you must be evaluated by a medical doctor. If you choose not to see a medical doctor, you will have to sign an acknowledgment that one was recommended to you. 7. Clinicians working for the Medical Ayurveda Rejuvenation Center may alter your prescriptions without approval from your medical doctor. 8. I give permission for the Medical Ayurveda Rejuvenation Center to use the information in my chart for research purposes. (Any publication of our research will not include patient names.) I have read and understand the above information. Client's Signature: ______________________________________________Date: ___________ All clients who participate in Ayurvedic health care should be advised of the following: 1. The goal of all programs is to create within your body and mind an optimum environment for healing to take place and to maximize your body's ability to heal itself using the principles of Ayurveda. 2. The Medical Ayurveda Rejuvenation Center is not a primarycare medical clinic. 3. Not all our clinicians are trained in Western medical diagnosis or treatments. 6. If you are suffering from a disease or symptom that has not been evaluated by a medical doctor or another licensed health care professional, you must be evaluated by a medical doctor. If you choose not to see a medical doctor, you will have to sign an acknowledgment that one was recommended to you. 7. Clinicians working for the Medical Ayurveda Rejuvenation Center may alter your prescriptions without approval from your medical doctor. 8. I give permission for the Medical Ayurveda Rejuvenation Center to use the information in my chart for research purposes. (Any publication of our research will not include patient names.) I have read and understand the above information. Client's Signature: ______________________________________________Date: ___________ All clients who participate in Ayurvedic health care should be advised of the following: 1. The goal of all programs is to create within your body and mind an optimum environment for healing to take place and to maximize your body's ability to heal itself using the principles of Ayurveda. 2. The Medical Ayurveda Rejuvenation Center is not a primarycare medical clinic. 3. Not all our clinicians are trained in Western medical diagnosis or treatments. 6. If you are suffering from a disease or symptom that has not been evaluated by a medical doctor or another licensed health care professional, you must be evaluated by a medical doctor. If you choose not to see a medical doctor, you will have to sign an acknowledgment that one was recommended to you. 7. Clinicians working for the Medical Ayurveda Rejuvenation Center may alter your prescriptions without approval from your medical doctor. 8. I give permission for the Medical Ayurveda Rejuvenation Center to use the information in my chart for research purposes. (Any publication of our research will not include patient names.) I have read and understand the above information. Client's Signature: ______________________________________________Date: ___________ All clients who participate in Ayurvedic health care should be advised of the following: 1. The goal of all programs is to create within your body and mind an optimum environment for healing to take place and to maximize your body's ability to heal itself using the principles of Ayurveda. 2. The Medical Ayurveda Rejuvenation Center is not a primarycare medical clinic. 3. Not all our clinicians are trained in Western medical diagnosis or treatments. 6. If you are suffering from a disease or symptom that has not been evaluated by a medical doctor or another licensed health care professional, you must be evaluated by a medical doctor. If you choose not to see a medical doctor, you will have to sign an acknowledgment that one was recommended to you. 7. Clinicians working for the Medical Ayurveda Rejuvenation Center may alter your prescriptions without approval from your medical doctor. 8. I give permission for the Medical Ayurveda Rejuvenation Center to use the information in my chart for research purposes. (Any publication of our research will not include patient names.) I have read and understand the above information. Client's Signature: ______________________________________________Date: ___________ All clients who participate in Ayurvedic health care should be advised of the following: 1. The goal of all programs is to create within your body and mind an optimum environment for healing to take place and to maximize your body's ability to heal itself using the principles of Ayurveda. 2. The Medical Ayurveda Rejuvenation Center is not a primarycare medical clinic. 3. Not all our clinicians are trained in Western medical diagnosis or treatments. 6. If you are suffering from a disease or symptom that has not been evaluated by a medical doctor or another licensed health care professional, you must be evaluated by a medical doctor. If you choose not to see a medical doctor, you will have to sign an acknowledgment that one was recommended to you. 7. Clinicians working for the Medical Ayurveda Rejuvenation Center may alter your prescriptions without approval from your medical doctor. 8. I give permission for the Medical Ayurveda Rejuvenation Center to use the information in my chart for research purposes. (Any publication of our research will not include patient names.) I have read and understand the above information. Client's Signature: ______________________________________________Date: ___________ All clients who participate in Ayurvedic health care should be advised of the following: 1. The goal of all programs is to create within your body and mind an optimum environment for healing to take place and to maximize your body's ability to heal itself using the principles of Ayurveda. 2. The Medical Ayurveda Rejuvenation Center is not a primarycare medical clinic. 3. Not all our clinicians are trained in Western medical diagnosis or treatments. 6. If you are suffering from a disease or symptom that has not been evaluated by a medical doctor or another licensed health care professional, you must be evaluated by a medical doctor. If you choose not to see a medical doctor, you will have to sign an acknowledgment that one was recommended to you. 7. Clinicians working for the Medical Ayurveda Rejuvenation Center may alter your prescriptions without approval from your medical doctor. 8. I give permission for the Medical Ayurveda Rejuvenation Center to use the information in my chart for research purposes. (Any publication of our research will not include patient names.) I have read and understand the above information. Client's Signature: ______________________________________________Date: ___________ All clients who participate in Ayurvedic health care should be advised of the following: 1. The goal of all programs is to create within your body and mind an optimum environment for healing to take place and to maximize your body's ability to heal itself using the principles of Ayurveda. 2. The Medical Ayurveda Rejuvenation Center is not a primarycare medical clinic. 3. Not all our clinicians are trained in Western medical diagnosis or treatments. 6. If you are suffering from a disease or symptom that has not been evaluated by a medical doctor or another licensed health care professional, you must be evaluated by a medical doctor. If you choose not to see a medical doctor, you will have to sign an acknowledgment that one was recommended to you. 7. Clinicians working for the Medical Ayurveda Rejuvenation Center may alter your prescriptions without approval from your medical doctor. 8. I give permission for the Medical Ayurveda Rejuvenation Center to use the information in my chart for research purposes. (Any publication of our research will not include patient names.) I have read and understand the above information. Client's Signature: ______________________________________________Date: ___________ All clients who participate in Ayurvedic health care should be advised of the following: 1. The goal of all programs is to create within your body and mind an optimum environment for healing to take place and to maximize your body's ability to heal itself using the principles of Ayurveda. 2. The Medical Ayurveda Rejuvenation Center is not a primarycare medical clinic. 3. Not all our clinicians are trained in Western medical diagnosis or treatments. 6. If you are suffering from a disease or symptom that has not been evaluated by a medical doctor or another licensed health care professional, you must be evaluated by a medical doctor. If you choose not to see a medical doctor, you will have to sign an acknowledgment that one was recommended to you. 7. Clinicians working for the Medical Ayurveda Rejuvenation Center may alter your prescriptions without approval from your medical doctor. 8. I give permission for the Medical Ayurveda Rejuvenation Center to use the information in my chart for research purposes. (Any publication of our research will not include patient names.) I have read and understand the above information. Client's Signature: ______________________________________________Date: ___________ All clients who participate in Ayurvedic health care should be advised of the following: 1. The goal of all programs is to create within your body and mind an optimum environment for healing to take place and to maximize your body's ability to heal itself using the principles of Ayurveda. 2. The Medical Ayurveda Rejuvenation Center is not a primarycare medical clinic. 3. Not all our clinicians are trained in Western medical diagnosis or treatments. 6. If you are suffering from a disease or symptom that has not been evaluated by a medical doctor or another licensed health care professional, you must be evaluated by a medical doctor. If you choose not to see a medical doctor, you will have to sign an acknowledgment that one was recommended to you. 7. Clinicians working for the Medical Ayurveda Rejuvenation Center may alter your prescriptions without approval from your medical doctor. 8. I give permission for the Medical Ayurveda Rejuvenation Center to use the information in my chart for research purposes. (Any publication of our research will not include patient names.) I have read and understand the above information. Client's Signature: ______________________________________________Date: ___________ All clients who participate in Ayurvedic health care should be advised of the following: 1. The goal of all programs is to create within your body and mind an optimum environment for healing to take place and to maximize your body's ability to heal itself using the principles of Ayurveda. 2. The Medical Ayurveda Rejuvenation Center is not a primarycare medical clinic. 3. Not all our clinicians are trained in Western medical diagnosis or treatments. 6. If you are suffering from a disease or symptom that has not been evaluated by a medical doctor or another licensed health care professional, you must be evaluated by a medical doctor. If you choose not to see a medical doctor, you will have to sign an acknowledgment that one was recommended to you. 7. Clinicians working for the Medical Ayurveda Rejuvenation Center may alter your prescriptions without approval from your medical doctor. 8. I give permission for the Medical Ayurveda Rejuvenation Center to use the information in my chart for research purposes. (Any publication of our research will not include patient names.) I have read and understand the above information. Client's Signature: ______________________________________________Date: ___________ All clients who participate in Ayurvedic health care should be advised of the following: 1. The goal of all programs is to create within your body and mind an optimum environment for healing to take place and to maximize your body's ability to heal itself using the principles of Ayurveda. 2. The Medical Ayurveda Rejuvenation Center is not a primarycare medical clinic. 3. Not all our clinicians are trained in Western medical diagnosis or treatments. 6. If you are suffering from a disease or symptom that has not been evaluated by a medical doctor or another licensed health care professional, you must be evaluated by a medical doctor. If you choose not to see a medical doctor, you will have to sign an acknowledgment that one was recommended to you. 7. Clinicians working for the Medical Ayurveda Rejuvenation Center may alter your prescriptions without approval from your medical doctor. 8. I give permission for the Medical Ayurveda Rejuvenation Center to use the information in my chart for research purposes. (Any publication of our research will not include patient names.) I have read and understand the above information. Client's Signature: ______________________________________________Date: ___________ All clients who participate in Ayurvedic health care should be advised of the following: 1. The goal of all programs is to create within your body and mind an optimum environment for healing to take place and to maximize your body's ability to heal itself using the principles of Ayurveda. 2. The Medical Ayurveda Rejuvenation Center is not a primarycare medical clinic. 3. Not all our clinicians are trained in Western medical diagnosis or treatments. 6. If you are suffering from a disease or symptom that has not been evaluated by a medical doctor or another licensed health care professional, you must be evaluated by a medical doctor. If you choose not to see a medical doctor, you will have to sign an acknowledgment that one was recommended to you. 7. Clinicians working for the Medical Ayurveda Rejuvenation Center may alter your prescriptions without approval from your medical doctor. 8. I give permission for the Medical Ayurveda Rejuvenation Center to use the information in my chart for research purposes. (Any publication of our research will not include patient names.) I have read and understand the above information. Client's Signature: ______________________________________________Date: ___________ All clients who participate in Ayurvedic health care should be advised of the following: 1. The goal of all programs is to create within your body and mind an optimum environment for healing to take place and to maximize your body's ability to heal itself using the principles of Ayurveda. 2. The Medical Ayurveda Rejuvenation Center is not a primarycare medical clinic. 3. Not all our clinicians are trained in Western medical diagnosis or treatments. 6. If you are suffering from a disease or symptom that has not been evaluated by a medical doctor or another licensed health care professional, you must be evaluated by a medical doctor. If you choose not to see a medical doctor, you will have to sign an acknowledgment that one was recommended to you. 7. Clinicians working for the Medical Ayurveda Rejuvenation Center may alter your prescriptions without approval from your medical doctor. 8. I give permission for the Medical Ayurveda Rejuvenation Center to use the information in my chart for research purposes. (Any publication of our research will not include patient names.) I have read and understand the above information. Client's Signature: ______________________________________________Date: ___________ All clients who participate in Ayurvedic health care should be advised of the following: 1. The goal of all programs is to create within your body and mind an optimum environment for healing to take place and to maximize your body's ability to heal itself using the principles of Ayurveda. 2. The Medical Ayurveda Rejuvenation Center is not a primarycare medical clinic. 3. Not all our clinicians are trained in Western medical diagnosis or treatments. 6. If you are suffering from a disease or symptom that has not been evaluated by a medical doctor or another licensed health care professional, you must be evaluated by a medical doctor. If you choose not to see a medical doctor, you will have to sign an acknowledgment that one was recommended to you. 7. Clinicians working for the Medical Ayurveda Rejuvenation Center may alter your prescriptions without approval from your medical doctor. 8. I give permission for the Medical Ayurveda Rejuvenation Center to use the information in my chart for research purposes. (Any publication of our research will not include patient names.) I have read and understand the above information. Client's Signature: ______________________________________________Date: ___________ All clients who participate in Ayurvedic health care should be advised of the following: 1. The goal of all programs is to create within your body and mind an optimum environment for healing to take place and to maximize your body's ability to heal itself using the principles of Ayurveda. 2. The Medical Ayurveda Rejuvenation Center is not a primarycare medical clinic. 3. Not all our clinicians are trained in Western medical diagnosis or treatments. 6. If you are suffering from a disease or symptom that has not been evaluated by a medical doctor or another licensed health care professional, you must be evaluated by a medical doctor. If you choose not to see a medical doctor, you will have to sign an acknowledgment that one was recommended to you. 7. Clinicians working for the Medical Ayurveda Rejuvenation Center may alter your prescriptions without approval from your medical doctor. 8. I give permission for the Medical Ayurveda Rejuvenation Center to use the information in my chart for research purposes. (Any publication of our research will not include patient names.) I have read and understand the above information. Client's Signature: ______________________________________________Date: ___________ All clients who participate in Ayurvedic health care should be advised of the following: 1. The goal of all programs is to create within your body and mind an optimum environment for healing to take place and to maximize your body's ability to heal itself using the principles of Ayurveda. 2. The Medical Ayurveda Rejuvenation Center is not a primarycare medical clinic. 3. Not all our clinicians are trained in Western medical diagnosis or treatments. 6. If you are suffering from a disease or symptom that has not been evaluated by a medical doctor or another licensed health care professional, you must be evaluated by a medical doctor. If you choose not to see a medical doctor, you will have to sign an acknowledgment that one was recommended to you. 7. Clinicians working for the Medical Ayurveda Rejuvenation Center may alter your prescriptions without approval from your medical doctor. 8. I give permission for the Medical Ayurveda Rejuvenation Center to use the information in my chart for research purposes. (Any publication of our research will not include patient names.) I have read and understand the above information. Client's Signature: ______________________________________________Date: ___________ All clients who participate in Ayurvedic health care should be advised of the following: 1. The goal of all programs is to create within your body and mind an optimum environment for healing to take place and to maximize your body's ability to heal itself using the principles of Ayurveda. 2. The Medical Ayurveda Rejuvenation Center is not a primarycare medical clinic. 3. Not all our clinicians are trained in Western medical diagnosis or treatments. 6. If you are suffering from a disease or symptom that has not been evaluated by a medical doctor or another licensed health care professional, you must be evaluated by a medical doctor. If you choose not to see a medical doctor, you will have to sign an acknowledgment that one was recommended to you. 7. Clinicians working for the Medical Ayurveda Rejuvenation Center may alter your prescriptions without approval from your medical doctor. 8. I give permission for the Medical Ayurveda Rejuvenation Center to use the information in my chart for research purposes. (Any publication of our research will not include patient names.) I have read and understand the above information. Client's Signature: ______________________________________________Date: ___________ All clients who participate in Ayurvedic health care should be advised of the following: 1. The goal of all programs is to create within your body and mind an optimum environment for healing to take place and to maximize your body's ability to heal itself using the principles of Ayurveda. 2. The Medical Ayurveda Rejuvenation Center is not a primarycare medical clinic. 3. Not all our clinicians are trained in Western medical diagnosis or treatments. 6. If you are suffering from a disease or symptom that has not been evaluated by a medical doctor or another licensed health care professional, you must be evaluated by a medical doctor. If you choose not to see a medical doctor, you will have to sign an acknowledgment that one was recommended to you. 7. Clinicians working for the Medical Ayurveda Rejuvenation Center may alter your prescriptions without approval from your medical doctor. 8. I give permission for the Medical Ayurveda Rejuvenation Center to use the information in my chart for research purposes. (Any publication of our research will not include patient names.) I have read and understand the above information. Client's Signature: ______________________________________________Date: ___________ All clients who participate in Ayurvedic health care should be advised of the following: 1. The goal of all programs is to create within your body and mind an optimum environment for healing to take place and to maximize your body's ability to heal itself using the principles of Ayurveda. 2. The Medical Ayurveda Rejuvenation Center is not a primarycare medical clinic. 3. Not all our clinicians are trained in Western medical diagnosis or treatments. 6. If you are suffering from a disease or symptom that has not been evaluated by a medical doctor or another licensed health care professional, you must be evaluated by a medical doctor. If you choose not to see a medical doctor, you will have to sign an acknowledgment that one was recommended to you. 7. Clinicians working for the Medical Ayurveda Rejuvenation Center may alter your prescriptions without approval from your medical doctor. 8. I give permission for the Medical Ayurveda Rejuvenation Center to use the information in my chart for research purposes. (Any publication of our research will not include patient names.) I have read and understand the above information. Client's Signature: ______________________________________________Date: ___________ All clients who participate in Ayurvedic health care should be advised of the following: 1. The goal of all programs is to create within your body and mind an optimum environment for healing to take place and to maximize your body's ability to heal itself using the principles of Ayurveda. 2. The Medical Ayurveda Rejuvenation Center is not a primarycare medical clinic. 3. Not all our clinicians are trained in Western medical diagnosis or treatments. 6. If you are suffering from a disease or symptom that has not been evaluated by a medical doctor or another licensed health care professional, you must be evaluated by a medical doctor. If you choose not to see a medical doctor, you will have to sign an acknowledgment that one was recommended to you. 7. Clinicians working for the Medical Ayurveda Rejuvenation Center may alter your prescriptions without approval from your medical doctor. 8. I give permission for the Medical Ayurveda Rejuvenation Center to use the information in my chart for research purposes. (Any publication of our research will not include patient names.) I have read and understand the above information. Client's Signature: ______________________________________________Date: ___________ All clients who participate in Ayurvedic health care should be advised of the following: 1. The goal of all programs is to create within your body and mind an optimum environment for healing to take place and to maximize your body's ability to heal itself using the principles of Ayurveda. 2. The Medical Ayurveda Rejuvenation Center is not a primarycare medical clinic. 3. Not all our clinicians are trained in Western medical diagnosis or treatments. 6. If you are suffering from a disease or symptom that has not been evaluated by a medical doctor or another licensed health care professional, you must be evaluated by a medical doctor. If you choose not to see a medical doctor, you will have to sign an acknowledgment that one was recommended to you. 7. Clinicians working for the Medical Ayurveda Rejuvenation Center may alter your prescriptions without approval from your medical doctor. 8. I give permission for the Medical Ayurveda Rejuvenation Center to use the information in my chart for research purposes. (Any publication of our research will not include patient names.) I have read and understand the above information. Client's Signature: ______________________________________________Date: ___________ All clients who participate in Ayurvedic health care should be advised of the following: 1. The goal of all programs is to create within your body and mind an optimum environment for healing to take place and to maximize your body's ability to heal itself using the principles of Ayurveda. 2. The Medical Ayurveda Rejuvenation Center is not a primarycare medical clinic. 3. Not all our clinicians are trained in Western medical diagnosis or treatments. 6. If you are suffering from a disease or symptom that has not been evaluated by a medical doctor or another licensed health care professional, you must be evaluated by a medical doctor. If you choose not to see a medical doctor, you will have to sign an acknowledgment that one was recommended to you. 7. Clinicians working for the Medical Ayurveda Rejuvenation Center may alter your prescriptions without approval from your medical doctor. 8. I give permission for the Medical Ayurveda Rejuvenation Center to use the information in my chart for research purposes. (Any publication of our research will not include patient names.) I have read and understand the above information. Client's Signature: ______________________________________________Date: ___________ All clients who participate in Ayurvedic health care should be advised of the following: 1. The goal of all programs is to create within your body and mind an optimum environment for healing to take place and to maximize your body's ability to heal itself using the principles of Ayurveda. 2. The Medical Ayurveda Rejuvenation Center is not a primarycare medical clinic. 3. Not all our clinicians are trained in Western medical diagnosis or treatments. 6. If you are suffering from a disease or symptom that has not been evaluated by a medical doctor or another licensed health care professional, you must be evaluated by a medical doctor. If you choose not to see a medical doctor, you will have to sign an acknowledgment that one was recommended to you. 7. Clinicians working for the Medical Ayurveda Rejuvenation Center may alter your prescriptions without approval from your medical doctor. 8. I give permission for the Medical Ayurveda Rejuvenation Center to use the information in my chart for research purposes. (Any publication of our research will not include patient names.) I have read and understand the above information. Client's Signature: ______________________________________________Date: ___________ All clients who participate in Ayurvedic health care should be advised of the following: 1. The goal of all programs is to create within your body and mind an optimum environment for healing to take place and to maximize your body's ability to heal itself using the principles of Ayurveda. 2. The Medical Ayurveda Rejuvenation Center is not a primarycare medical clinic. 3. Not all our clinicians are trained in Western medical diagnosis or treatments. 6. If you are suffering from a disease or symptom that has not been evaluated by a medical doctor or another licensed health care professional, you must be evaluated by a medical doctor. If you choose not to see a medical doctor, you will have to sign an acknowledgment that one was recommended to you. 7. Clinicians working for the Medical Ayurveda Rejuvenation Center may alter your prescriptions without approval from your medical doctor. 8. I give permission for the Medical Ayurveda Rejuvenation Center to use the information in my chart for research purposes. (Any publication of our research will not include patient names.) I have read and understand the above information. Client's Signature: ______________________________________________Date: ___________ All clients who participate in Ayurvedic health care should be advised of the following: 1. The goal of all programs is to create within your body and mind an optimum environment for healing to take place and to maximize your body's ability to heal itself using the principles of Ayurveda. 2. The Medical Ayurveda Rejuvenation Center is not a primarycare medical clinic. 3. Not all our clinicians are trained in Western medical diagnosis or treatments. 6. If you are suffering from a disease or symptom that has not been evaluated by a medical doctor or another licensed health care professional, you must be evaluated by a medical doctor. If you choose not to see a medical doctor, you will have to sign an acknowledgment that one was recommended to you. 7. Clinicians working for the Medical Ayurveda Rejuvenation Center may alter your prescriptions without approval from your medical doctor. 8. I give permission for the Medical Ayurveda Rejuvenation Center to use the information in my chart for research purposes. (Any publication of our research will not include patient names.) I have read and understand the above information. Client's Signature: ______________________________________________Date: ___________ All clients who participate in Ayurvedic health care should be advised of the following: 1. The goal of all programs is to create within your body and mind an optimum environment for healing to take place and to maximize your body's ability to heal itself using the principles of Ayurveda. 2. The Medical Ayurveda Rejuvenation Center is not a primarycare medical clinic. 3. Not all our clinicians are trained in Western medical diagnosis or treatments. 6. If you are suffering from a disease or symptom that has not been evaluated by a medical doctor or another licensed health care professional, you must be evaluated by a medical doctor. If you choose not to see a medical doctor, you will have to sign an acknowledgment that one was recommended to you. 7. Clinicians working for the Medical Ayurveda Rejuvenation Center may alter your prescriptions without approval from your medical doctor. 8. I give permission for the Medical Ayurveda Rejuvenation Center to use the information in my chart for research purposes. (Any publication of our research will not include patient names.) I have read and understand the above information. Client's Signature: ______________________________________________Date: ___________ All clients who participate in Ayurvedic health care should be advised of the following: 1. The goal of all programs is to create within your body and mind an optimum environment for healing to take place and to maximize your body's ability to heal itself using the principles of Ayurveda. 2. The Medical Ayurveda Rejuvenation Center is not a primarycare medical clinic. 3. Not all our clinicians are trained in Western medical diagnosis or treatments. 6. If you are suffering from a disease or symptom that has not been evaluated by a medical doctor or another licensed health care professional, you must be evaluated by a medical doctor. If you choose not to see a medical doctor, you will have to sign an acknowledgment that one was recommended to you. 7. Clinicians working for the Medical Ayurveda Rejuvenation Center may alter your prescriptions without approval from your medical doctor. 8. I give permission for the Medical Ayurveda Rejuvenation Center to use the information in my chart for research purposes. (Any publication of our research will not include patient names.) I have read and understand the above information. Client's Signature: ______________________________________________Date: ___________ /13NRb*;DJKFGHPQ\]rsø艹{t{t{tttttttt jqh^X h^X5 h^X; h^XCJjh^XUh^X5CJ\aJh^X5CJ\aJh^X5CJOJQJ\aJh^XCJ$\^JaJ$h^XCJ$OJQJ\aJ$"jh^XCJ$OJQJU\aJ$h^X5CJ$\^JaJ$h^X5CJ \^JaJ h^X-1b4 5 <>TUqMNO ^`^ ^` ^`h^h$h^ha$45[ KLPQRXYZ^_`a./ ^`$/012XYZ[\\]^_` ^`HIJKLM*;K$Ifx^ ^`KLQRS$Ifnkd$$Ifl0@'04 laSTXYZ$Ifnkd$$Ifl0@'04 laZ[_`a$Ifnkd,$$Ifl0@'04 laabfgh$Ifnkd$$Ifl0@'04 lahimno$IfnkdX$$Ifl0@'04 laopstu$Ifnkd$$Ifl}0@'04 lauv;=G|w$a$^ PP^nkd$$Ifl0@'04 la GP[\rlkd$$Ifl0(@@04 la$If$Iflkd$$Ifl0(@@04 la$Iflkd"$$Ifl0(@@04 la{~]`    = ? $!%!&!*!+!-!J!L!!!7":"""N#Q#m#n#s#t#$X$Y$\$$$$$%%O%}%%%&&&&r&u&4(9((()** h^XCJ h^X6 jqh^X h^X5\ h^X5CJ h^X5jh^XU jqh^Xh^XM/z{lkd$$Ifl0(@@04 la|}$If$IfXRRRR$Ifkd*$$IfP4\F~ J")8  04 Paf4p ZTTTT$IfkdD$$IfP4\F~ J")8`   04 Paf4p ZTTTT$Ifkd$$IfP4\F~ J")8   04 Paf4p ZTTTT$Ifkd $$IfP4\F~ J")8   04 Paf4p ZTTTT$Ifkd $$IfP4\F~ J")8   04 Paf4p ZTTTT$Ifkd $$IfP4\F~ J")8   04 Paf4p ZTTTT$Ifkd $$IfP4\F~ J")8   04 Paf4p ZTTTT$Ifkd $$IfP4\F~ J")8`   04 Paf4p ZTTTT$Ifkd$$IfP4\F~ J")8   04 Paf4p ZTTTT$Ifkd$$IfP4\F~ J")8   04 Paf4p ZTTTT$Ifkd$$IfP4\F~ J")8   04 Paf4p  ZTTTT$Ifkd$$IfP4\F~ J")8   04 Paf4p  ZTTTT$Ifkd$$IfP4\F~ J")8`   04 Paf4p  !,-./ZTTTT$Ifkd~$$IfP4\F~ J")8   04 Paf4p /01234ZTTTT$Ifkd}$$IfP4\F~ J")8   04 Paf4p 45<=>?ZTTTT$Ifkd|$$IfP4\F~ J")8   04 Paf4p ?@KLMNZTTTT$Ifkd{$$IfP4\F~ J")8`   04 Paf4p NOXYZ[ZTTTT$Ifkdz$$IfP4\F~ J")8   04 Paf4p [\]ZXXR$Ifkdy$$IfP4\F~ J")8   04 Paf4p  ; < ECCYkd$$Ifl((04 la$IfYkdx$$Ifl((04 la< = v /!J!!!$IfYkdp$$Ifl((04 la!!!!!!!EC?CYkdh$$Ifl(4)04 la$IfYkd$$Ifl(4)04 la!7""N#$Y$%%&r&4((()****.*4*  bP$If$IfP$If$a$`**3*4*@2d2444444444444444444445;5=5S5T5e5f55555555555555556666Ľ h^X6 jqh^X h^X5hX h^X0Jj,h^XUh^XCJOJQJ]h^XCJH*] h^XCJ]h^X0JCJhX0JmHnHu h^X0Jjh^X0JUjh^XU h^XCJh^X h^X9;34*5*6*7*A*B*C*D*U*VPPPPPPP$Ifkd$$Ifl4r<")  D  04 la^f4U*V*W*X*b*c*d*e*s*t*u*v****************Ffb*Ff&Ff"$IfFf********** + + + + +!+"+#+<+=+>+?+K+L+M+N+O+P+Ff5Ff2Ff1.$IfP+Q+R+`+a+b+c+d+e+f+g+u+v+++++++$IfP$IfFf]=Ff9$If++kdn?$$Ifl4ֈl<")  t (04 la^f4p(++++++++++++++++++++++++FfFFfB$If++++$$IfkdH$$Ifl֞l<") t  04 la^p +++++$If  bP$If$If++,, , ,4....$Ifkd.J$$Ifl4ֈ<") D   04 la^f4p  , , ,,,,,,,,,(,),*,+,,,-,.,/,5,6,G,L,M,N,O,$IfP$IfFfUFfQQFftM$IfO,Y,$IfY,Z,kdW$$Ifl4ֈl<")  t (04 la^f4p(Z,[,\,r,s,t,u,v,w,x,y,,,,,$If  ($IfFfZ$If,,,,,2,,,$Ifkd\$$Ifl4yֈ<") D   04 la^f4p ,,,,$If  bP$If$If,,,,,2,,,$Ifkd]$$Ifl4yֈ<") D   04 la^f4p ,,,,,,,,,,,,,,,,,,,,------ -!-FfhFfeFfHa$If!-5-6-7-8-P-Q-R-S-o-p-q-r-s-t-u-v-----------Ff>xFfotFfpFfl$If-------$If--kdKz$$Ifl4ֈl<")  t (04 la^f4p(------  bP$If$If$IfP$If----.....TNNNNNNN$Ifkd{$$Ifl4yr<")  D  04 la^f4..... .!.".).*.+.,.1.2.3.4.=.>.?.@.J.K.L.M.R.S.T.FfFf҆Ff$IfFfT.U.e.f.g.h................/$IfP$IfFf?Ffp$If//// /////QKKKKKKK$IfkdL$$Ifl4r <|)  h2 @ 04 la^f4/ /!/"/6/7/8/9/I/J/K/L/U/V/W/X/g/h/i/j/x/y/z/{////FfFfFf($IfFfO///////////////////////FfFfϦ$If///$Ifkdͬ$$Ifl֞ <|)* h*@  04 la^p /////0$IfP$If$If0000"0/)))$Ifkd)$$Ifl4ֈ <|)* h2 @  04 la^f4p "0#0$0%050607080A0B0C0D0]0^0_0`0}0~00000000000Ff!FfHFfo$If00000000000000000$If  ($IfFfFf$If00kd$$Ifl4ֈ <|)  h*@ (04 la^f4p(0011111$If$IfP$If11kd\$$Ifl4ֈ <|)  h*@ (04 la^f4p(111-1.1/10191:1;1<1N1O1P1Q1]1^1_1`1{1|1}1~111111FflFfFf$If11111111111111111111222222 2!2FfFfFfE$If!2"2#2$2%2?2@2d2l2$IfFf@$Ifl2m2n2o2p2/)))$IfkdW$$Ifl4ֈ <|)* h2 @  04 la^f4p p2q2r2s2|2}2~2222222222222$IfP$IfFf*Ff3$If22222,&&&$IfkdG$$Ifl4r <|) @ *@  04 la^f4p22222222 3 3333 3!3"3/303132333435363S3T3U3V3FfFfFf$IfV3W3X3kd$$IflZ֞ <|)* h*@  04 la^p $IfX3Y3Z3r3s3t3u3v3w3x3$If x3y3z3$Ifkdn$$IflZ֞ <|)* h*@  04 la^p z3{33333$IfP$If$If33333/)))$Ifkd$$Ifl4ֈ <|)* h2 @  04 la^f4p 3333333333333344 4 4 44$IfP$IfFfFf $If44kd$$Ifl4ֈ <|)  h*@ (04 la^f4p(44494:4;4<4U4V4W4X4l4m4n4o44444444444444Ff.FfG Ff`$If444444444444444444444444444&`#$^Ff$If44444555T5555556>6U6x66666 ( df!hPP^hPP$a$ $ !n(<a$  !(^ !(&`#$6 6 6 6 6666666666677777777!7#7$7%7,7.7/707577 8888888 808182838:8;8<8=8E8F8G8H8N8;;<<====\h^X5CJOJQJ\aJh^XOJQJ h^X6]"h^X56;CJKHmHnHu h^X5 jqh^Xh^X h^X6>6667V7m7777778N8n8888899999929 ( df!hPP^hPP29n9:::::::::;;;;;;;;; ; ; ; PP & F hvPP^` & F hPP^` ; ; ;;;;;;;;;;;;;;-;@;S;s;;</<<<<<<  xxx^<<<<<<<<<<<<<<<<<<<<<<========== = = = = =================== =!="=#=$=$=%=&='=(=)=*=+=,=-=.=/=0=1=2=3=4=5=6=7=8=9=:=;=<===>=?=@=A=A=B=C=D=E=F=G=H=I=J=K=L=M=N=O=P=Q=R=S=T=U=V=W=X=Y=Z=[=\=]=^=^=_=`=a=b=c=d=e=f=g=h=i=j=k=l=m=n=o=p=q=r=s=t=u=v=w=x=y=z={={=|=}=~==============F>G>??@@e@f@AACBDBvBvBwBxByBzBBBBBBBBBBBBBBBBBBBBBBBBBBB?C@C D D\D]DDDEEkFlF*G+G]G^G_G`GaGbGcGdGeGfGGGGGGGHHHH4I5IIIJJCKDKLL5L6L7L8L9L:L;LLLLLLLLLLMM N N_N`NOOPPPP QQQQQQQQQQjQkQlQmQnQnQQQRRRR7S8SgThTTTUUUUUUUUUUUUBVCVDVEVFVFVVViWjWWWXX?Y@YYYZZZZZZZZZZZZ[[[[[[w[x[A\B\\\\\^^^^b_c_________________O`P`aalamaaabb{c|c:d;dmdndodpdqdrdsdtdudvddddddd'e(eeeDfEfffggShThiiEiFiGiHiIiJiKiLiMiNiiiiiiiijjjkkokpkll+m,mmmnnn n!n"n#n$n%n&nzn{n|n}n~n~nnnooooGpHpwqxqrrrrrrrrrrrrrrRsSsTsUsVsVsssytztttu uOvPvvvwwwwwwwwwwww*x+x,x-x.x.xxxQyRyyyyy'{({{{r|s|||||||||||}}}}}}_}`})~*~|~}~~~JK}~ځہ܁݁ށށ78TUׄ؄cd"#UVWXYZ[\]^هڇ,-;<-./0123456WXҏӏ bcdeffܑݑ/0_`ݔޔߔ:;<=>>ab78ØĘop9:ߛZ[GHdest23efghijklmn£ãģţƣƣ <=KL =>?@ABCDEF©gh#$rstuvvϭЭ?@opJKLMNNqrijųGHӵԵŶƶǶȶɶʶ˶̶Ͷζ"#$%&&IJ jkWX!"tuǽȽBCuvwxyz{|}~/0LM[\MNOPQRSTUV$%wx34%&'()*+,-.OP Z[\]^^_`abcdefghijklmnopqrstuvwxyz{{|}~   !"#$%&'())*+,-./0123456789:;<=>?@ABCDEFFGHIJKLMNOPQRSTUVWXYZ[\^200/ =!`"`#$% $$If!vh55#v#v:V l0554$$If!vh55#v#v:V l0554$$If!vh55#v#v:V l0554$$If!vh55#v#v:V l0554$$If!vh55#v#v:V l0554$$If!vh55#v#v:V l}0554$$If!vh55#v#v:V l0554$$If!vh5@5@#v@:V l05@4$$If!vh5@5@#v@:V l05@4$$If!vh5@5@#v@:V l05@4$$If!vh5@5@#v@:V l05@4$$If!vh55855 #v#v8#v#v :V P4  055855 / / / 44 Pf4p C$$If!vh55855 #v#v8#v#v :V P4  0+55855 / / / / / / 44 Pf4p $$If!vh55855 #v#v8#v#v :V P4  0+55855/ 44 Pf4p $$If!vh55855 #v#v8#v#v :V P4  0+55855/ 44 Pf4p $$If!vh55855 #v#v8#v#v :V P4  0+55855/ 44 Pf4p $$If!vh55855 #v#v8#v#v :V P4  0+55855/ 44 Pf4p $$If!vh55855 #v#v8#v#v :V P4  0+55855/ 44 Pf4p $$If!vh55855 #v#v8#v#v :V P4  0+55855 / 44 Pf4p $$If!vh55855 #v#v8#v#v :V P4  0+55855/ 44 Pf4p $$If!vh55855 #v#v8#v#v :V P4  0+55855/ 44 Pf4p $$If!vh55855 #v#v8#v#v :V P4  0+55855/ 44 Pf4p $$If!vh55855 #v#v8#v#v :V P4  0+55855/ 44 Pf4p $$If!vh55855 #v#v8#v#v :V P4  0+55855 / 44 Pf4p $$If!vh55855 #v#v8#v#v :V P4  0+55855/ 44 Pf4p $$If!vh55855 #v#v8#v#v :V P4  0+55855/ 44 Pf4p $$If!vh55855 #v#v8#v#v :V P4  0+55855/ 44 Pf4p $$If!vh55855 #v#v8#v#v :V P4  0+55855 / 44 Pf4p $$If!vh55855 #v#v8#v#v :V P4  0+55855/ 44 Pf4p $$If!vh55855 #v#v8#v#v :V P4  0+55855/ 44 Pf4p z$$If!vh5(#v(:V l05(4z$$If!vh5(#v(:V l05(4z$$If!vh5(#v(:V l05(4z$$If!vh54)#v4):V l054)4z$$If!vh54)#v4):V l054)4M$$If^!vh5 5 55D 5 #v #v #v#vD #v :V l405 5 55D 5 / / / / / / / / 4a^f4$$If^!vh555 55t55 #v#v#v #v#vt#v#v :V l 20555 55t55 / / / / /  4a^p2 kd3$$Ifl֞l<") t 204 la^p2$$If^!vh555 55t55 #v#v#v #v#vt#v#v :V l 20555 55t55 / / / / /  4a^p2 kd!$$Ifl֞l<") t 204 la^p2$$If^!vh555 55t55 #v#v#v #v#vt#v#v :V l 20555 55t55 / / / / /  4a^p2 kd$$$Ifl֞l<") t 204 la^p2$$If^!vh555 55t55 #v#v#v #v#vt#v#v :V l 20555 55t55 / / / / /  4a^p2 kd($$Ifl֞l<") t 204 la^p2$$If^!vh555 55t55 #v#v#v #v#vt#v#v :V l 20555 55t55 / / / / /  4a^p2 kdo,$$Ifl֞l<") t 204 la^p2$$If^!vh555 55t55 #v#v#v #v#vt#v#v :V lL 20555 55t55 / / / / /  4a^p2kd>0$$IflL֞l<") t 204 la^p2$$If^!vh555 55t55 #v#v#v #v#vt#v#v :V l 20555 55t55 / / / / / /  4a^p2 kd4$$Ifl֞l<") t 204 la^p2$$If^!vh555 55t55 #v#v#v #v#vt#v#v :V l 20555 55t55 / / / /  4a^p2 kd7$$Ifl֞l<") t 204 la^p2$$If^!vh555 55t55 #v#v#v #v#vt#v#v :V l  20555 55t55 / / /  4a^p2kd;$$Ifl ֞l<") t 204 la^p2$$If^!vh5 5 55t55 #v #v #v#vt#v#v :V l4 (05 5 55t55 / / / / / /  4a^f4p($$If^!vh555 55t55 #v#v#v #v#vt#v#v :V l 20555 55t55 / / / / / /  4a^p2 kdA$$Ifl֞l<") t 204 la^p2$$If^!vh555 55t55 #v#v#v #v#vt#v#v :V l 20555 55t55 / / / / / / 4a^p2 kdD$$Ifl֞l<") t 204 la^p2Z$$If^!vh555 55t55 #v#v#v #v#vt#v#v :V l  0555 55t55 / / / / 4a^p $$If^!vh555 55D 5 #v#v#v #v#vD #v :V l4  0555 55D 5 / / / / / / / / 4a^f4p $$If^!vh555 55t55 #v#v#v #v#vt#v#v :V l 20555 55t55 / / / / /  4a^p2 kdK$$Ifl֞l<") t 204 la^p2$$If^!vh555 55t55 #v#v#v #v#vt#v#v :V l 20555 55t55 / / / / / /  4a^p2 kdO$$Ifl֞l<") t 204 la^p2$$If^!vh555 55t55 #v#v#v #v#vt#v#v :V l 20555 55t55 / / /  4a^p2kd^S$$Ifl֞l<") t 204 la^p2$$If^!vh5 5 55t55 #v #v #v#vt#v#v :V l4 (05 5 55t55 / / / / / / /  4a^f4p($$If^!vh555 55t55 #v#v#v #v#vt#v#v :V l 20555 55t55 / / / / / / 4a^p2 kdX$$Ifl֞l<") t 204 la^p2N$$If^!vh555 55D 5 #v#v#v #v#vD #v :V l4y  0555 55D 5 / / / / 4a^f4p $$If^!vh555 55D 5 #v#v#v #v#vD #v :V l4y  0555 55D 5 / / / / / / / / 4a^f4p $$If^!vh555 55t55 #v#v#v #v#vt#v#v :V l 20555 55t55 / / / / /  4a^p2 kd_$$Ifl֞l<") t 204 la^p2$$If^!vh555 55t55 #v#v#v #v#vt#v#v :V l 20555 55t55 / / / / /  4a^p2 kdUc$$Ifl֞l<") t 204 la^p2$$If^!vh555 55t55 #v#v#v #v#vt#v#v :V l 20555 55t55 / / / / /  4a^p2 kd$g$$Ifl֞l<") t 204 la^p2$$If^!vh555 55t55 #v#v#v #v#vt#v#v :V l 20555 55t55 / / / / /  4a^p2 kdj$$Ifl֞l<") t 204 la^p2$$If^!vh555 55t55 #v#v#v #v#vt#v#v :V l 20555 55t55 / / / / /  4a^p2 kdn$$Ifl֞l<") t 204 la^p2$$If^!vh555 55t55 #v#v#v #v#vt#v#v :V l 20555 55t55 / / / / / / /  4a^p2 kdr$$Ifl֞l<") t 204 la^p2$$If^!vh555 55t55 #v#v#v #v#vt#v#v :V l 20555 55t55 / / / / /  4a^p2 kd|v$$Ifl֞l<") t 204 la^p2~$$If^!vh5 5 55t55 #v #v #v#vt#v#v :V l4 (05 5 55t55 / / / 4a^f4p('$$If^!vh5 5 55D 5 #v #v #v#vD #v :V l4y05 5 55D 5 / / / / / 4a^f4"$$If^!vh555 55t55 #v#v#v #v#vt#v#v :V l 20555 55t55 /  /  / / / / / / / / /  / 4a^p2 kd|$$Ifl֞l<") t  204 la^p2$$If^!vh555 55t55 #v#v#v #v#vt#v#v :V l 20555 55t55 / / / / / / /  4a^p2 kd%$$Ifl֞l<") t 204 la^p2$$If^!vh555 55t55 #v#v#v #v#vt#v#v :V l 20555 55t55 / / / / /  4a^p2 kd$$Ifl֞l<") t 204 la^p2$$If^!vh555 55t55 #v#v#v #v#vt#v#v :V l 20555 55t55 / / / / /  4a^p2 kd߈$$Ifl֞l<") t 204 la^p2$$If^!vh555 55t55 #v#v#v #v#vt#v#v :V l 20555 55t55 / / / / /  4a^p2 kd$$Ifl֞l<") t 204 la^p2$$If^!vh555 55t55 #v#v#v #v#vt#v#v :V l 20555 55t55 / / / / /  4a^p2 kd}$$Ifl֞l<") t 204 la^p2?$$If^!vh5 5 5h52 5@ #v #vh#v2 #v@ :V l405 5h52 5@ / / / / / / / / 4a^f4$$If^!vh55*5 5h55*5@ #v#v*#v #vh#v#v*#v@ :V l 2055*5 5h55*5@ / / / / /  4a^p2kd$$Ifl֞ <|)* h*@ 204 la^p2$$If^!vh55*5 5h55*5@ #v#v*#v #vh#v#v*#v@ :V l 2055*5 5h55*5@ / / / / /  4a^p2kdf$$Ifl֞ <|)* h*@ 204 la^p2$$If^!vh55*5 5h55*5@ #v#v*#v #vh#v#v*#v@ :V l 2055*5 5h55*5@ / / / / /  4a^p2kd?$$Ifl֞ <|)* h*@ 204 la^p2$$If^!vh55*5 5h55*5@ #v#v*#v #vh#v#v*#v@ :V l 2055*5 5h55*5@ / / / / / /  4a^p2kd$$Ifl֞ <|)* h*@ 204 la^p2$$If^!vh55*5 5h55*5@ #v#v*#v #vh#v#v*#v@ :V l 2055*5 5h55*5@ / / / / / /  4a^p2kd$$Ifl֞ <|)* h*@ 204 la^p2$$If^!vh55*5 5h55*5@ #v#v*#v #vh#v#v*#v@ :V l 2055*5 5h55*5@ / / / / / / 4a^p2kd$$Ifl֞ <|)* h*@ 204 la^p2Z$$If^!vh55*5 5h55*5@ #v#v*#v #vh#v#v*#v@ :V l  055*5 5h55*5@ / / / / 4a^p $$If^!vh55*5 5h52 5@ #v#v*#v #vh#v2 #v@ :V l4  055*5 5h52 5@ / / / / / / / / 4a^f4p $$If^!vh55*5 5h55*5@ #v#v*#v #vh#v#v*#v@ :V l 2055*5 5h55*5@ / / / / /  4a^p2kd$$Ifl֞ <|)* h*@ 204 la^p2$$If^!vh55*5 5h55*5@ #v#v*#v #vh#v#v*#v@ :V l 2055*5 5h55*5@ / / / / /  4a^p2kd$$Ifl֞ <|)* h*@ 204 la^p2$$If^!vh55*5 5h55*5@ #v#v*#v #vh#v#v*#v@ :V l 2055*5 5h55*5@ / / / / /  4a^p2kd_$$Ifl֞ <|)* h*@ 204 la^p2$$If^!vh55*5 5h55*5@ #v#v*#v #vh#v#v*#v@ :V l 2055*5 5h55*5@ / / / / / /  4a^p2kd8$$Ifl֞ <|)* h*@ 204 la^p2$$If^!vh55*5 5h55*5@ #v#v*#v #vh#v#v*#v@ :V l 2055*5 5h55*5@ / / / /  4a^p2kd$$Ifl֞ <|)* h*@ 204 la^p2p$$If^!vh5 5 5h55*5@ #v #vh#v#v*#v@ :V l4 (05 5h55*5@ / / /  4a^f4p($$If^!vh5 5 5h55*5@ #v #vh#v#v*#v@ :V l4 (05 5h55*5@ / / / / / /  4a^f4p($$If^!vh55*5 5h55*5@ #v#v*#v #vh#v#v*#v@ :V l 2055*5 5h55*5@ / / / / /  4a^p2kd$$Ifl֞ <|)* h*@ 204 la^p2$$If^!vh55*5 5h55*5@ #v#v*#v #vh#v#v*#v@ :V l 2055*5 5h55*5@ / / / / /  4a^p2kd$$Ifl֞ <|)* h*@ 204 la^p2$$If^!vh55*5 5h55*5@ #v#v*#v #vh#v#v*#v@ :V l 2055*5 5h55*5@ / / / / /  4a^p2kd$$Ifl֞ <|)* h*@ 204 la^p2$$If^!vh55*5 5h55*5@ #v#v*#v #vh#v#v*#v@ :V l 2055*5 5h55*5@ / / / / /  4a^p2kd$$Ifl֞ <|)* h*@ 204 la^p2$$If^!vh55*5 5h55*5@ #v#v*#v #vh#v#v*#v@ :V l 2055*5 5h55*5@ / / / / /  4a^p2kd\$$Ifl֞ <|)* h*@ 204 la^p2$$If^!vh55*5 5h55*5@ #v#v*#v #vh#v#v*#v@ :V l 2055*5 5h55*5@ / / / / / / /  4a^p2kd5$$Ifl֞ <|)* h*@ 204 la^p2$$If^!vh55*5 5h55*5@ #v#v*#v #vh#v#v*#v@ :V l 2055*5 5h55*5@ / / / / /  / / / / /  / 4a^p2kd*$$Ifl֞ <|)* h*@  204 la^p2$$If^!vh55*5 5h52 5@ #v#v*#v #vh#v2 #v@ :V l4  055*5 5h52 5@ / / / / / / / / / / / / / / 4a^f4p $$If^!vh55*5 5h55*5@ #v#v*#v #vh#v#v*#v@ :V l4Z 2055*5 5h55*5@ / / / / / / / /  / 4a^f4p2kd/$$Ifl4Z֞ <|)* h*@  204 la^f4p2$$If^!vh55*5 5h55*5@ #v#v*#v #vh#v#v*#v@ :V l4 2055*5 5h55*5@ / / / / /  / 4a^f4p2kdT$$Ifl4֞ <|)* h*@  204 la^f4p2$$If^!vh5 5@ 55*5@ #v #v@ #v#v*#v@ :V l4 05 5@ 55*5@ /  / / / / /  / 4a^f4p$$If^!vh55*5 5h55*5@ #v#v*#v #vh#v#v*#v@ :V l4 2055*5 5h55*5@ / / / / / /  / /  / 4a^f4p2kd$$Ifl4֞ <|)* h*@  204 la^f4p2$$If^!vh55*5 5h55*5@ #v#v*#v #vh#v#v*#v@ :V l4 2055*5 5h55*5@ / / / / / / /  / 4a^f4p2kd$$Ifl4֞ <|)* h*@  204 la^f4p2$$If^!vh55*5 5h55*5@ #v#v*#v #vh#v#v*#v@ :V l4 2055*5 5h55*5@ / / / / / / /  / 4a^f4p2kd$$Ifl4֞ <|)* h*@  204 la^f4p2^$$If^!vh55*5 5h55*5@ #v#v*#v #vh#v#v*#v@ :V lZ  055*5 5h55*5@ / / / / 4a^p ^$$If^!vh55*5 5h55*5@ #v#v*#v #vh#v#v*#v@ :V lZ  055*5 5h55*5@ / / / / 4a^p X$$If^!vh55*5 5h52 5@ #v#v*#v #vh#v2 #v@ :V l4  055*5 5h52 5@ / / / / / 4a^f4p $$If^!vh55*5 5h55*5@ #v#v*#v #vh#v#v*#v@ :V l4 2055*5 5h55*5@ / / / / / / /  4a^f4p2kd($$Ifl4֞ <|)* h*@ 204 la^f4p2$$If^!vh55*5 5h55*5@ #v#v*#v #vh#v#v*#v@ :V l 2055*5 5h55*5@ / / / /  / 4a^p2kd)$$Ifl֞ <|)* h*@ 204 la^p2$$If^!vh5 5 5h55*5@ #v #vh#v#v*#v@ :V l4 (05 5h55*5@ / / / / / /  4a^f4p($$If^!vh55*5 5h55*5@ #v#v*#v #vh#v#v*#v@ :V l 2055*5 5h55*5@ / / / / /  4a^p2kd$$Ifl֞ <|)* h*@ 204 la^p2$$If^!vh55*5 5h55*5@ #v#v*#v #vh#v#v*#v@ :V l 2055*5 5h55*5@ / / / / / /  4a^p2kdw $$Ifl֞ <|)* h*@ 204 la^p2$$If^!vh55*5 5h55*5@ #v#v*#v #vh#v#v*#v@ :V l 2055*5 5h55*5@ / / / / / /  4a^p2kd^$$Ifl֞ <|)* h*@ 204 la^p2$$If^!vh55*5 5h55*5@ #v#v*#v #vh#v#v*#v@ :V l 2055*5 5h55*5@ / / / / / / 4a^p2kdE$$Ifl֞ <|)* h*@ 204 la^p2DyK www.ayurvedaseattle.comyK @http://www.ayurvedaseattle.com/P@P Normal ^6CJOJQJ_HmH sH tH b@b Heading 1$P@&^a$5;CJKHmHnHuh@h Heading 2,$$ x h%<@&^a$5CJOJQJF@F Heading 3$$@&]a$CJD@D Heading 4$$@&a$ 5CJ\Z@Z Heading 5$ <h@&^h5CJ$\^JaJ$8@8 Heading 6$@&>*DA@D Default Paragraph FontVi@V  Table Normal :V 44 la (k@(No List 4@4 Header  !>O> MainStyle^68O8 Explanation$a$DO"D TableHeader$((a$5HO2H TableText$PP^a$CJ8OB8 Questionx (4 @R4 Footer  !.)@a. Page NumberZOrZ SystemsList%$ x h%(@&^a$68O8 CCAHeadingOJQJDOqD SystemsListHeader9;VOqV systemlistheader x & CJOJ QJ 6U@6 Hyperlink >*B*ph0HJLO;\0HJLO;\1b45<>T U q M N O     K L P Q R X Y Z ^ _ ` a ./012XYZ[\\]^_`HIJKLM*;KLQRSTXYZ[_`abfghimnopstuv;=GP[\r/z{|}  !,-./012345<=>?@KLMNOXYZ[\];<=v/J7NYr4 !""""."4"5"6"7"A"B"C"D"U"V"W"X"b"c"d"e"s"t"u"v""""""""""""""""""""""""" # # # # #!#"###<#=#>#?#K#L#M#N#O#P#Q#R#`#a#b#c#d#e#f#g#u#v#######################################$$ $ $ $ $$$$$$$$$($)$*$+$,$-$.$/$5$6$G$L$M$N$O$Y$Z$[$\$r$s$t$u$v$w$x$y$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$%%%%%% %!%5%6%7%8%P%Q%R%S%o%p%q%r%s%t%u%v%%%%%%%%%%%%%%%%%%%%%%%%%%&&&&&&&&& &!&"&)&*&+&,&1&2&3&4&=&>&?&@&J&K&L&M&R&S&T&U&e&f&g&h&&&&&&&&&&&&&&&&'''' ''''' '!'"'6'7'8'9'I'J'K'L'U'V'W'X'g'h'i'j'x'y'z'{''''''''''''''''''''''''''''''''(((("(#($(%(5(6(7(8(A(B(C(D(](^(_(`(}(~((((((((((((((((((((((((((((())))))))-).)/)0)9):);)<)N)O)P)Q)])^)_)`){)|)})~)))))))))))))))))))))))))****** *!*"*#*$*%*?*@*d*l*m*n*o*p*q*r*s*|*}*~************************ + ++++ +!+"+/+0+1+2+3+4+5+6+S+T+U+V+W+X+Y+Z+r+s+t+u+v+w+x+y+z+{++++++++++++++++++++++,, , , ,,,,,9,:,;,<,U,V,W,X,l,m,n,o,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,---T------.>.U.x......6/V/m//////0N0n0000011111121n1222222222333333333 3 3 3 3 33333333333333-3@3S3s334/444444444444444444444444444555555555 5 5 5 5 5555555555555555555 5!5"5#5$5%5&5'5(5)5*5+5,5-5.5/505152535455565758595:5;5<5=5>5?5@5A5B5C5D5E5F5G5H5I5J5K5L5M5N5O5P5Q5R5S5T5U5V5W5X5Y5Z5[5\5]5^5_5`5a5b5c5d5e5f5g5h5i5j5k5l5m5n5o5p5q5r5s5t5u5v5w5x5y5z5{5|5}5~55555555555555F6G67788e8f899C:D:v:w:x:y:z::::::::::::::::::::::::::?;@; < <\<]<<<==k>l>*?+?]?^?_?`?a?b?c?d?e?f??????@@@@4A5AAABBCCDCDD5D6D7D8D9D:D;DDDDDDDDDEE F F_F`FGGHHHH IIIIIIIIIIjIkIlImInIIIJJJJ7K8KgLhLLLMMMMMMMMMMMMBNCNDNENFNNNiOjOOOPP?Q@QQQRRRRRRRRRRRRSSSSSwSxSATBTTTTTVVVVbWcWWWWWWWWWWWWWWWWOXPXYYlYmYYYZZ{[|[:\;\m\n\o\p\q\r\s\t\u\v\\\\\\'](]]]D^E^^^__S`T`aaEaFaGaHaIaJaKaLaMaNaaaaaaabbbccocpcdd+e,eeefff f!f"f#f$f%f&fzf{f|f}f~fffggggGhHhwixijjjjjjjjjjjjjjRkSkTkUkVkkkylzlllm mOnPnnnoooooooooooo*p+p,p-p.pppQqRqqqqq's(sssrtstttttttttttuuuuu_u`u)v*v|v}vvvwxxxJyKy}y~yyyyyyyyyyyyyy7z8z{{T{U{{{||c}d}"~#~U~V~W~X~Y~Z~[~\~]~^~~~~~~,-;<-./0123456WX҇Ӈ bcdef܉݉/0_`݌ތߌ:;<=>ab78ÐĐop9:ߓZ[GHdest23efghijklmn›Ûěśƛ <=KL =>?@ABCDEF¡gh#$rstuvϥХ?@opJKLMNqrīūGHӭԭŮƮǮȮɮʮˮ̮ͮή"#$%&IJ jkWX!"tuǵȵBCuvwxyz{|}~ҸӸԸոָ/0LMϻл[\MNOPQRSTUVѾҾ$%wx34%&'()*+,-.OP Z[\]^_`abcdefghijklmnopqrstuvwxyz{|}~  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ]H0800010101010101010101010101010101010101010101010101010101010101010101010101010101010101010101010101010101010101010101010101010101010101010101010101010101010101010101010100000000 0000 0000 0000 0000 0000 000v0v0v0v0v0v0v0v0v0v0000000000000000000000000000000000000X00000 0 0 0000 0 0000 0 0000 0 0000 0 000 0 0 000 0 0 0000 0 0000 0 0000 0 000 0 0 000 0 0 0000 0 0000 0 0000 0 000 0 0 0000 0 0000 0 0000 0 0000000000000000000000000/0/0/0/0/0/0000000000000000 0 0 0 0  0  0 0 0  0  0  0  0  0  0 0 0  0  0  0  0  0  0 0 0  0  0  0  0  0  0 0 0  0  0  0  0  0  0 0 0  0  0  0  0  0  0 0 0  0  0  0  0  0  0 0 0  0  0  0  0  0  0 0 0  0  0  0  0  0  0 0 0  0  0  0  0  0  0 0 0 0 0  0  0  0 0 0  0  0  0  0  0  0 0 0  0  0  0  0  0  0 0 0  0  0  0  0  0  0 0 0  0  0  0  0  0 0 0  0  0  0  0  0  0 0 0  0  0  0  0  0  0 0 0  0  0  0  0  0  0 0 0 0 0  0  0  0 0 0  0  0  0  0  0  0 0 0  0  0  0  0  0 0 0  0  0  0  0  0 0 0  0  0  0  0  0  0 0 0  0  0  0  0  0  0 0 0  0  0  0  0  0  0 0 0  0  0  0  0  0  0 0 0  0  0  0  0  0  0 0 0  0  0  0  0  0  0 0 0  0  0  0  0  0  0 0 0  0  0  0  0  0 0 0 0 0  0  0 0 0  0  0  0  0  0  0 0 0  0  0  0  0  0  0 0 0  0  0  0  0  0  0 0 0  0  0  0  0  0  0 0 0  0  0  0  0  0  0 0 0  0  0  0  0  0  0 00&0&0&0& 0& 0&0&0& 0& 0& 0& 0& 0& 0&0&0& 0& 0& 0& 0& 0& 0&0&0& 0& 0& 0& 0& 0& 0&0&0& 0& 0& 0& 0& 0& 0&0&0& 0& 0& 0& 0& 0& 0&0&0& 0& 0& 0& 0& 0& 0&0&0& 0& 0& 0& 0& 0& 0&0&0& 0& 0& 0& 0& 0&0&0& 0& 0& 0& 0& 0& 0&0&0& 0& 0& 0& 0& 0& 0&0&0& 0& 0& 0& 0& 0& 0&0&0& 0& 0& 0& 0& 0& 0&0&0& 0& 0& 0& 0& 0& 0&0&0& 0& 0& 0& 0& 0&0&0&0&0& 0& 0& 0&0&0& 0& 0& 0& 0& 0& 0&0&0& 0& 0& 0& 0& 0& 0&0&0& 0& 0& 0& 0& 0& 0&0&0& 0& 0& 0& 0& 0& 0&0&0& 0& 0& 0& 0& 0& 0&0&0& 0& 0& 0& 0& 0& 0&0&0& 0& 0& 0& 0& 0& 0&0&0& 0& 0& 0& 0& 0&0&0& 0& 0& 0& 0& 0& 0&0&0& 0& 0& 0& 0& 0& 0&0&0&0&0& 0& 0&0&0& 0& 0& 0& 0& 0& 0&0&0& 0& 0& 0& 0& 0& 0&0&0& 0& 0& 0& 0& 0& 0&0&0& 0& 0& 0& 0& 0& 0&0&0& 0& 0& 0&0&0& 0& 0& 0&0&0& 0& 0& 0& 0& 0&0&0& 0& 0& 0& 0& 0& 0&0&0& 0& 0& 0& 0& 0& 0&0&0&0&0& 0& 0& 0&0&0& 0& 0& 0& 0& 0& 0&0&0& 0& 0& 0& 0& 0& 0&0&0& 0& 0& 0& 0& 0& 0&0&0& 0& 0& 0& 0& 0& 0&00,0,X00X00X00X00X00X00X00X00X00X00X00X00X00X00X00X00X00X00X00X00@0@0@0@0@0@0@0@0X00X0000000000000000000000000000000000 0L 0L 0L000000000000000000000000000000000X0000000000000000000000000000000000000000X0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0lX0l00000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0X0  *6\iy/KSZahouG /4?N[< !!4*U**P++++++ ,O,Y,Z,,,,,!-----.T./////0"0000111!2l2p222V3X3x3z3334444629 ;<=$=A=^={=vBBGLnQFV[_di~nVs.x}ށf>ƣvN&^{ )F\jlmnopqrstuvwxz{|}~[k ')!!XD@(   \  3 8c" \  3 8c" \  3 8c" b  C  Ԕ"  l  0Ԕ T  C Ԕ B S  ?12{|}\m-*&'t-*TxTx((6Tex)a,ty)ty)ut: 3: .: D.: .: ܮ: : \: : ܯ: : ԅ: : T: : : : : \: : D[; [; [; \; D\; \; a;  b; Lb; b ; b ;  c ; D ;  ; ; ; D; ; T; ; ; ; T; ; x; x; ,y; ly; y; y; ,z; |; | ; }!; T}"; }#; }$; ~%; &; '; 4(; t); *; +; 4,; t-; .; /; 40; t1; 2; 3; 44; t5;  ]6; L]7; ]8; ]9;  ^:; L^;; ^<; ^=;  _>; L_?; _@; _A;  `B; L`C; `D; `E;  aF; LaG; ĔH; I; DJ; K; ĕL; M; DN; O; ĖP; Q; DR; S; ėT; U; DV; W; ĘX; Y; 4rZ; tr[; r\; r]; 4s^; ts_; s`; sa; 4tb; ttc; td; te; 4uf; tug; uh; ui; 4vj; tvk; vl; vm; 4wn; two; |Pp; Pq; Pr; < ?< @< <A< |B< C< D< <E< |F< G< H< <I< |J< K< L< <M< |N< O< P< <Q< |R< S< T< <U< |V< W< X< <Y< |Z< [< \< <]< |^< _< `< <a< |b< c< d< <e< |f< g< h< <i< |j< k< l< <m< |n< o< p< <q< |r< s< t<  u< Lv< w< x<  y< Lz< {< |<  }< L~< < <  < L< < <  < L< < <  < L< < <  < L< < <  < L< < <  < L< < <  < L< < <  < L< < <  < L< < <  < L< < <  < L< < <  < L< < )< )< *< \*< *< *< +< \+)bbly9-9-B-K-N-55557777999<<<"</<==>>>>>>>>@@@@ABBBBBaCaCiCrCCEEEEEGGGGG9H9HAHJHWHJJJJJLLLLLMMM"M/MqOqOyOOO^Q^QfQoQ|QQQQQRITITQTZTgT6V6V>VGVTVVVVVV!Y!Y)Y2Y?Y[[[[,[[[[[[]]^ ^^____`q`q`y```bbbbbdddddIeIeQeZegegggggiiiii!j!j)j2j?jlllllnnnnvnnnnno ooYqYqaqjqwqFsFsNsWsdssssss1v1v9vBvOvxx&x/x>FO\ɲɲѲڲ))1:G'4  yyپپQQYbo))1:G]      !%"#$&*'()+/,-.0412359678:>;<=?C@ABDHEFGIMJKLNROPQSWTUVX\YZ[]a^_`bfcdegkhijlpmnoqurstvzwxy{|}~      $!"#%)&'(*.+,-/3012485679=:;<>B?@ACGDEFHLIJKMQNOPRVSTUW[XYZ\`]^_aebcdfjghikolmnptqrsuyvwxz~{|}(//kxA-I-M-S-S-55557777999<!<.<5<5<>>>">">>>>>>@@A A ABBBBBhCqC~CCCEEEEEGGGGG@HIHVH]H]HJJJJJLLLLLM!M.M5M5MxOOOOOeQnQ{QQQQQR R RPTYTfTmTmT=VFVSVZVZVVVVVV(Y1Y>YEYEY[[+[2[2[[[[[[^ ^^^^__` ` `x`````bbbbbdddddPeYefememegggggiiiii(j1j>jEjEjlllllun~nnnno oooo`qiqvq}q}qMsVscsjsjssssss8vAvNvUvUv%x.x;xBxBxxxxxx{{&{-{-{|}}}}}}}}}Ձށ`iv}}Ʉք݄݄Æʆʆ8ANUU&--py]fszzHQ^ee5>KRRɕ֕ݕݕ )6== #**pyС١ƣӣڣڣHQ^eeŦŦ )6==mvXanuuEN[bbвٲ09FMM&3::ŷŷ%% Xanuu09FMM]      !#$%"&()*'+-./,0234157896:<=>;?ABC@DFGHEIKLMJNPQROSUVWTXZ[\Y]_`a^bdefcgijkhlnopmqsturvxyzw{}~|      "#$!%'()&*,-.+/1230467859;<=:>@AB?CEFGDHJKLIMOPQNRTUVSWYZ[X\^_`]acdebfhijgkmnolprstquwxyvz|}~{:*urn:schemas-microsoft-com:office:smarttagsStreet>*urn:schemas-microsoft-com:office:smarttags PostalCode9*urn:schemas-microsoft-com:office:smarttagsState8*urn:schemas-microsoft-com:office:smarttagsCity;*urn:schemas-microsoft-com:office:smarttagsaddress=*urn:schemas-microsoft-com:office:smarttags PlaceType=*urn:schemas-microsoft-com:office:smarttags PlaceName9*urn:schemas-microsoft-com:office:smarttagsplace X$bkX`CK6>  5 > 3 < P[ &&'',,,,,,,,,,,,,,,,------n1y177;<<!<?<J<>>>>@@@@A"ABBiCqCEEEEEEGGAHIHJJJJJJLLM!M_OgOyOOOOfQnQQQ7T?TQTYTwTT>VFVVVYY)Y1YOYZY[[[[]]^ ^'^2^__y``bbbbb cddQeYeggggggii)j1jolwlllllvn~no oGqOqaqiqqqNsVsssv'v9vAv_vjv&x.xxxzz{{7{B{|}}}ցށaiɄ9AʉW_qy^f/7IQoz6>ɕ!)GRߜ*qyѡ١ƣIQϦڦ!)gonv?GYaFNѲٲ19Wb& /:ǾϾYa19Z]d i *1 )Kz`mu~\`,,,,,,,,,,,,--s.v.//002233g4p4555577]333333333333333333333333NS ,,,,,,,,,,,,,,,,,,,---S-T--------.......//////0N0n00111111111111121m1n12333345555F5F555555YZZ[[],,,,,,,,,,,,----]$           !"#$hh^h`o(.hh^h`o(.hh^h`.(h^`(CJOJ QJ o(.(h^`(CJOJ QJ o(.(h^`(CJOJ QJ o(.(h^`(CJOJ QJ o(.hh^h`o(.hh^h`.hh^h`.hh^h`o(.hh^h`.hh^h`.hh^h`o(.hh^h`.hh^h`CJOJQJo(whh^h`CJ$OJQJo(qhh^h`CJ$OJQJo(qhh^h`CJ$OJQJo(qhh^h`CJOJQJo(qhh^h`CJOJQJo(qhh^h`CJOJQJo(qhh^h`CJOJQJo(qhh^h`CJOJQJo(qhh^h`CJOJQJo(qhh^h`CJOJQJo(qhh^h`CJOJQJo(qhh^h`CJOJQJo(qhh^h`CJOJQJo(qhh^h`CJOJQJo(qhh^h`CJOJQJo(qhh^h`CJOJQJo(qhh^h`CJOJQJo(qhh^h`CJOJQJo(qhh^h`CJOJQJo(qhh^h`CJOJQJo(q$  !"#$$$^XX*;KLRSTYZ[`abghinopsuvGP[\rK|}  !,-./012345<=>?@KLMNOXYZ[\;<=v/""""."4"5"6"7"A"B"C"D"U"V"W"X"b"c"d"e"s"t"u"v""""""""""""""""""""""""" # # # # #!#"###<#=#>#?#K#L#M#N#O#P#Q#R#`#a#b#c#d#e#f#g#u#v#######################################$$ $ $ $ $$$$$$$$$($)$*$+$,$-$.$/$5$6$G$L$M$N$O$Y$Z$[$\$r$s$t$u$v$w$x$y$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$%%%%%% %!%5%6%7%8%P%Q%R%S%o%p%q%r%s%t%u%v%%%%%%%%%%%%%%%%%%%%%%%%%%&&&&&&&&& &!&"&)&*&+&,&1&2&3&4&=&>&?&@&J&K&L&M&R&S&T&U&e&f&g&h&&&&&&&&&&&&&&&&'''' ''''' '!'"'6'7'8'9'I'J'K'L'U'V'W'X'g'h'i'j'x'y'z'{''''''''''''''''''''''''''''''''(((("(#($(%(5(6(7(8(A(B(C(D(](^(_(`(}(~((((((((((((((((((((((((((((())))))))-).)/)0)9):);)<)N)O)P)Q)])^)_)`){)|)})~)))))))))))))))))))))))))****** *!*"*#*$*%*?*@*d*l*m*n*o*p*q*r*s*|*}*~************************ + ++++ +!+"+/+0+1+2+3+4+5+6+S+T+U+V+W+X+Y+Z+r+s+v+w+x+y+z+{++++++++++++++++++++++,, , , ,,,,,9,:,;,<,U,V,W,X,l,m,n,o,,,,,,,,,,,,,,,,,,,,,,,,,,,,---345Z]a0a0a0a0a0a0a0a0a0a0a0a0a0@~\P@Unknown G: Times New Roman5Symbol3& : ArialSF ForteBrush Script MTo& Eras Medium ITCLucida Sans Unicode;Wingdings3z Times;& z Helvetica[Sonoma-ItalicCourier NewsArial MT Condensed LightArial Narrow5"Geneva"1h1хfHF-sf #&Q#&Q!4d,,2QHP ?X2CURRENT HEALTH CONCERNSNandini Ropiequet Joel Thornton$                           ! " # Oh+'0 $ D P \ ht|CURRENT HEALTH CONCERNSNandini Ropiequet Normal.dotJoel Thornton8Microsoft Office Word@@#!@^oC@\#&՜.+,D՜.+,D hp|  Q,' CURRENT HEALTH CONCERNS Title 8@ _PID_HLINKSAxc  http://www.ayurvedaseattle.com/)  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abdefghijlmnopqryRoot Entry F`ջ/\{Data 1TableWordDocument4SummaryInformation(cDocumentSummaryInformation8kCompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q