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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 Please ensure that you fill out a consultation prior to appointment arrival, failure to fill out a valid consultation could result in your appointment being cancelled or a minimum of 10 minutes will be allocated to this from your treatment time.

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Contra-Indications List

  • Cardio vascular conditions

  • Haemophilia

  • Epilepsy

  • Diabetes

  • Asthma

  • Bells palsy

  • Cancer

  • Pregnancy in the first trimester or High risk

  • Undiagnosed lumps or bumps 

  • Any other illness, dysfunction or disease active or dormant 

  • Prescribed medication

  • Anything else that may result in a contra-action follow treatment

Consultation 

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

Studio & Clinic 

6Central Avenue 
Brampton Park

Brampton
Cambridgeshire 

pe28 4bz

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Monday Mat Pilates & Events 

Family Hub Brampton
Other Venues

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