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New client Reflexology Consultation Form

Prior to your reflexology treatment I will ask you to complete a New Client Consultation Form. This helps me understand your overall health and lets me know of any concerns and health conditions (past & present) you may have before your treatment. Reflexology works on all parts of the body and not just one specific area therefore it is very important you let me know as much as you can. Doing this before your treatment day allows for a full hour for treatment and no disappointment if there are contra-indications that wouldn’t allow treatment to proceed.

 

All information is held in strictest confidence. At no given point is information disclosed or shared without the client’s written consent. You may choose to skip answering any question you feel impinges on personal information you do not wish to disclose

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© 2025 by Lucy Zurich

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