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When you book in for the first time, I need you to fill this health declaration form, so I can make sure that I'm the best person for you, and so I can avoid any techniques or oils that could be harmful to your health. All information is confidential and will not be shared with anyone without your consent. 

Health Declaration

Please fill out the following form
in order to participate in our activity.

Have you been hospitalized in the last 12 months?
Are you suffering from a medical condition, illness, or injury?

Thanks for submitting!

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