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Vocal Massage Client Form

Date of event
Day
Month
Year
Do you have any pre-existing medical conditions I need to know about?
Have you ever been diagnosed with any vocal disorders or conditions such as nodules, polyps, or vocal cord dysfunction?
yes
no
Other
I understand that laryngeal manual therapy/vocal massage is intended for therapeutic purposes and should be performed by a trained professional. I consent to receive laryngeal manual therapy/vocal massage and acknowledge that I have provided accurate info
yes, I agree
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Olney (Milton Keynes) / London/ Online 

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