Hijama consent form 2025

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The document is a medical history form for Hijama Cupping Therapy, requiring personal information, medical history, and consent from the client. It includes sections on emergency contacts, medical conditions, lifestyle habits, and contraindications for treatment. The form emphasizes the importance of consulting a physician before undergoing therapy and outlines the client's responsibilities regarding appointments and treatment.

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Click ‘Get Form’ to open the hijama consent form in the editor.
Begin by entering your full name, date of birth, and contact information in the designated fields. This ensures that your practitioner has accurate details for your treatment.
Fill out your medical history, including any special disabilities or needs. Be thorough in this section as it helps the practitioner understand your health better.
Indicate your emergency contact information. This is crucial for safety during treatment.
Carefully answer all medical condition questions. Mark 'Yes' or 'No' as applicable, and provide additional details where necessary to ensure a comprehensive understanding of your health status.
Review the contraindications section and confirm you have consulted with a physician if required. This step is vital for ensuring safe treatment.
Finally, sign and date the form at the bottom to give consent for treatment. Ensure all information is accurate before submission.

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