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Get Ma Valley Massage Therapy Ear Candling Consent Form 2021-2024

Ear candling session? If so, what did you enjoy most and least about the candling? Yes No What results are you looking for as a result of your session today? Health Related: Are you presently under a Doctor or Therapist s care? Yes No If so, why? Do you wear any type of hearing aid? Yes No Check the following symptoms that you have or had previously experienced: Ear Aches Headaches Ringing in Ears Ear Discharge Dizziness Loss.

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