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Contra-indication Disclaimer Form

Do you have a pace maker?
Currently pregnant?
Epilepsy
Cancer*
Heart problems*
Diabetes
Inflammation - infection*
Tumours*
Varicose veins
Recent operations*
Scar tissue
Allergy - rubber/metals etc.
Lack of normal skin sensation
Thrombosis / Phlebitis
Roacutane
Metal implants/screws
Prothesis/silicone
High/low blood pressure*
Skin disease*
Multiple Sclerosis
Muscular Conditions
Botox injections*
Allergy to Seaweed
Eye conditions
Sporting injuries
Medication*
Anti-depressants
Feet (fungal infections)
Nut allergy
Fillers*
Have you had the recent onset. of a new continous cough?
Do you have or had a high temperature?
Have you noticed a loss of, or change in, normal sense of taste or smell?
GDPR - consent to retain details!

Thank you - your disclaimer has been submitted!

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