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Consultation Form - Lymphatic Drainage

Please fill out the following form  in order to see if Lymphatic Drainage is suitable 

Have you been hospitalized in the last 12 months?
Are you recovering from Surgery or Cancer treatment
Are you suffering from a medical condition, illness, or injury?
Any form of infection, disease or fever in the last 2 weeks
Please select any that apply:
Thanks for submitting!
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