Marion Jenkins Therapies Dibden Purlieu - Organic treatments to make you feel amazing

Please complete all sections honestly and to the best of your knowledge.
All information is held in strict confidence and used solely for treatment purposes.

First Name *

Last Name *

Email *

Phone *

Address *

City / Town *

Postcode *

Country

Date of Birth *

Occupation

Marital Status

Children

Doctor's Name & Address *

Current Height

Current Weight

For insurance purposes, for treatment benefits paid to GP or from the NHS by private healthcare, the following details may be relevant.

After your MLD treatment, please follow these guidelines:

• Drink plenty of water following a massage treatment — a minimum of 8 glasses is recommended to help flush toxins through the lymphatic system.

• If this is the first occasion you have had MLD or your condition is unstable, please advise your doctor if you have had adverse reactions.

• You may experience increased urination for 24–48 hours following treatment as the lymphatic system flushes excess fluid — this is completely normal.

• Avoid alcohol, caffeine, and strenuous exercise for 24 hours following treatment.

• Rest as much as possible for the remainder of the day following your treatment.

• If you experience any unusual symptoms following treatment please contact Marion or your GP immediately.

Client Pre-MLD Treatment Consultation Form