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BB Holistic Therapy Consultation Form

It is imperative that I have the most up to date information of your contact details, health and wellbeing to ensure your treatment is adapted to your needs enabling the best possible treatment. In the current ever-changing climate and guidelines, it is necessary to ensure both insurance and government legislation is upheld. You must complete this form and return it prior to your treatment, to ensure it is able to go ahead.

PLEASE DO NOT ATTEND YOUR TREATMENT if you have had any symptoms of COVID-19 or are currently unwell. Please arrange your appointment for an alternative time. 

Where did you hear about BB Holistic Therapy
GDPR & Data Storage
If client is under the age of 18 years, parental or guardian consent for treatment is required. Do you have parental responsibility?

Thanks for submitting!

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