Health Form

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Tel: 07480 708020

Tatjana Senkova

Garnet Beauty and Skincare / Thatcham /Berkshire / MLD / Manual Lymphatic Drainage / Post Surgery MLD / Lymphoedema

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First Name

Last Name

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Have you been hospitalized in the last 12 months?

Are you suffering from a medical condition, illness, injury or allergies?

Please check any health conditions which yoy have ever had previosly are now experiencing:

Heart Condition

High or low blood pressure

Stroke

Epilepsy

Cancer

Chemotherapy or Radiotherapy

Hepatitis

Hormonal Imbalance

Pregnancy

On HRT /Contraceptive Pill

Pacemaker

Varicose Veins

Thyroid issues

Metal Plates or Pins

Botox or Fillers

Recent Major Surgery

Astma or Breathing problems

Migraines

Back Problems

Hernia

Lymphodema

Deep veine thrombosis

Eye disorder/ Infection

Allergies to Latex

Any other allergies

Muscle Joint Disorder

Skin Problems

Should you have responded positively to any of the inquiries, we kindly request further elaboration or additional information.

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Tatjana Senkova

Private
Practice Locations

Thatcham/Newbury

Tel: 07480 708020

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Tatjana Senkova

Health Form

Tatjana Senkova

Private Practice Locations

Thatcham/Newbury

Private
Practice Locations