• In order to create the most beneficial session, please mark all current and previous conditions that apply.

    Manual Lymphatic Drainage Intake Form

  • Picture & video usage: Before, during, & after pictures & videos may be taken to document

    treatments. These pictures or videos become Forever Pretti Body Inc. sole property and may only be used for promotional and/or educational purposes. FACE WILL NOT BE SHOW!

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  • I understand that the Manual Lymphatic Drainage I receive is provided for the basic purpose of improving the flow of my lymphatic system and also for relaxation. If I experience any pain or discomfort during this session,I will immediately inform the practitioner so that the pressure and/or strokes may be adjusted to my level of comfort.

    I further understand that massage or bodywork should not be construed as a substitute for medical examination, diagnosis, or treatment and that I should see a physician, chiropractor, or other qualified medical specialist for any mental or physical ailment of which I am aware. I understand that massage/bodywork practitioners are not qualified to perform spinal or skeletal adjustments, diagnose, prescribe, or treat any physical or mental illness, and that nothing said in the course of the session given should be construed as such.

    Because massage/ bodywork should not be performed under certain medical conditions, I affirm thatI have stated all my known medical conditions and answered all questions honestly. agree to keep the practitioner updated as to any changes in my medical profile and understand that there shall be no liability on the practitioner's part should fail to do so.

    *Please Note: Manual Lymphatic Drainage (MLD) is a very powerful modality and certain medical conditions are contraindicated and determine if and when you can receive a session. After the consultation and review of the information you have provided on this form, it will be determined if MLD should be administered to you today. Some conditions will require a note from your doctor before proceeding. Please understand this is for your safety and well-being.

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