Welcome to Synergetix Remedial Massage
Synergetix Remedial Massage
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Client History

If possible please complete the below Client History form before your first appointment - this will allow me to focus on the areas of importance and maximise your treatment time. All information is confidential. Feel free to add as much detail as you feel is relevant and if you are unsure about anything don't hesitate to ask me.

    client details

    general information

    Of particular interest is the nature of your duties - computer work, call centre, manual work, etc.
    Write 'none' if not applicable.

    history

    Write 'none' if not applicable.
    Write 'none' if not applicable.
    Mention in particular any injury or fall that may be contributing to your current condition.
    Write 'none' if not applicable.
    Write 'none' if not applicable.
    Write 'none' if not applicable.
    Feel free to write here anything that you think could be relevant.
Submit
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