Tle:ISO 15930 - Electronic document file format for prepress digital data exchange (PDF X) 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering today’s date at the top of the form. This helps track your appointment details.
3. Fill in your personal information, including your name, birth date, address, phone number, and email. Ensure accuracy for effective communication.
4. In the emergency contact section, provide a name and phone number of someone who can be reached if necessary.
5. Indicate the reason for seeking Manual Lymphatic Drainage by checking either 'Therapeutic' or 'Medical Issue'. If applicable, describe your medical issue and its severity.
6. List any current medications you are taking, including nonprescription drugs. This is crucial for your safety during treatment.
7. Review the major illnesses section and circle 'Yes' or 'No' as appropriate based on your health history.
8. Complete the surgical history and review of current symptoms sections by providing relevant details as needed.
9. Finally, read through the consent statement carefully before signing and dating at the bottom of the form.

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