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Sound Bath Consultation Form 

Please fill in the below form to the best of your knowledge and submit prior to your first treatment with Siane, if at any point in the future the information changes please be sure to head back here and resubmit all relevant up to date information.

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Contra-Indications List

  • Cardio vascular conditions

  • Epilepsy

  • Diabetes

  • Bells palsy

  • Cancer

  • Pregnancy  

  • Mental health concerns 

  • Any other illness, dysfunction or disease active or dormant 

  • Prescribed medication

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**Please note that the above list does not necessarily mean you can not attend a sound bath, it just allows me to ensure your safety throughout** 

Consultation 

Please take the time to read the above and fill out the information below.

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Swedish House

Clinic & Studio

11 North RD

Brampton Park

Brampton

PE28 4FN 

Hansonwellness@yahoo.com

07926624526 

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Group Sessions & Events

Brampton & surrounding villages

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