20 Park Lane, Bahrs Scrub, Qld 4207
Confidential Client Information Sheet
CONSULT/ MASSAGE/ ACUPUNCTURE/ ENERGY HEALING/YOGA
Your Session today may include face, head, chest, stomach, back, buttocks, arms, legs and feet depending on the area of the problem. Please circle any of the above areas you do not wish to have treated today.
CONTRAINDICATIONS
I declare that I am here of my own will. The information that I have provided on this form is true and correct to the best of my knowledge, and I have not intentionally withheld any information relevant to the treatment recommended/requested. I understand that any therapy provided to me by my practitioner does not constitute medical treatment. I agree to waive all liabilities towards my therapist/Employer for any injury or damages incurred due to any misrepresentation of my health history.
Disclaimer**
The services provided by Anandam Wellness are intended to support overall well-being and are not a substitute for professional medical advice, diagnosis, or treatment. Our practitioners do not diagnose medical conditions or prescribe medications. Please consult with your doctor or qualified healthcare provider regarding any medical concerns or conditions you may have.
By completing and submitting this form, you acknowledge that:
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You have disclosed all relevant health information to the best of your knowledge.
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You understand that natural therapies may support health and wellness but are not guaranteed to cure any medical condition.
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You accept full responsibility for your choices and participation in any therapy or wellness service provided by Anandam Wellness.
If you have any serious health concerns, we encourage you to seek guidance from a licensed medical professional.
Please call or message us at 0451084481 for bookings.
