CALL US : 1-(314) 287-5461 

Romantic Restoration

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    Please download each of the files below, print and fill out before your first scheduled session. 

    Electronic Payment Authorization
    Electronic Payment Authorization
    HIPPA & Confidentiality INFO
    HIPPA & Confidentiality INFO
    Initial Client Questionnaire
    Initial Client Questionnaire
    Cancellation Policy
    Cancellation Policy
    Limits Of Confidentiality
    Limits Of Confidentiality
    Client Financial Agreement
    Client Financial Agreement

    Location

    Romantic Restoration, LLC

    Relationships That Endure
    10420 Old Olive Street 
    Suite 206
    Saint Louis, Missouri 63141
    Call Dr. Patrice Reddick
    (314) 287-5461 

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