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Email of Submitter For Client Date Started (Late, Absent, Canceled)
Issues Described Issues Presented Attitude
Stability Tolerance Levels Physical Disturbance Emotional Disturbance Cognitive Disturbance Conscious Etiology, Their Report Subconscious Etiology, My Opinion
Modalities Engaged 1. 2. 3.
EEG Protocol Induction 1 Induction 2
Events During Session Attitude After Session Homework Materials To Use Suggested Follow-up Accepted Follow-up