This Consultation Form will assist your therapist in correctly evaluating your needs & choosing the correct treatment for you today. All information is strictly confidential & remains the property of ZahMal London LTD.
♦ Please indicate any recent or current experience of the following conditions:
Please list any physical or health conditions that your therapist should be aware of that is not listed above:
Please list any medication taken regularly and any specific medication/pain killers taken today:
What would you like to gain from your treatment today?:
Please note, your Practitioner will NOT be doing any treatments if anyone in the household is isolating or have symptoms of Covid-19. Please contact us up to 6 hours before the time of treatment to cancel or reschedule your appointment. Note that you will not be refunded upon arrival, therapist will communicate with ZahMal London Admin team.READ
How many forms have been completed
Our team is here to help you at every step.