G-979687
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15 Childsbridge Lane,
15 Childsbridge Lane . Kemsing . Sevenoaks . Kent .TN15 6TJ
Phone
07960 931130
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Massage Therapy Consultation
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Massage Therapy Consultation
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Address
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Phone
Emergency Contact Name
D.O.B
Email
Emergency Contact Number
Occupation
List any medication you take
Do you have any allegies
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Could you be pregnant
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Contagious skin disease
Cancer
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Diabetes
High/Low Blood Pressure
Any area of numbness
Joint replacement
Sprains or strains
Sever varocous veins
Asthma
Medical odema
Metal plates in treatment area
Fibromyalgia
Deep vein thrombosis
Kidney Dysfunction
Liver condition
Epilepsy
Muscle paralysis
Tumours
Recent head / neck injury
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Have you had any recent injuries or medical procedures
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