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Consultation Form -POST OP Manual Lymphatic Drainage

Please fill out the following form.

Any form of infection, disease or fever in the last 2 weeks
Please tick which surgery/procedure you have had Required
Requires medical permission or informed consent from client in writing
Contra indications that RESTRICT treatment

Thanks for submitting Body contouring form!

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McLoughlin Scar Tissue Release Approved Practitioner
Hydrotherm Massage

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​Soothicity is a trading name of Protea Therapies Ltd Registered in England.  Company No: 11752572.

The Soothicity name and the Soothicity "Rising Sun Lotus" are Registered Trademarks and may only be used with permission from Protea Therapies Ltd

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