Hands on Therapy

Form Submission

Health Form

I understand the Massage services are designed to be a Health aid and are in no way to take the place of a Doctors or Physiotherapist’s care.

Medical History

Please Identify Specific Areas Of Soreness

Please indicate if any of the following relate to you? Tick where yes

General

Head / Neck

Shoulders and Arms

Chest / Abdomen

Hips and Legs

Hands on Therapy

handsontherapy4@gmail.com

0210324738

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