MLD
Consultation Form

First Name

Last Name

Email

Phone

Optional Message

Have you had any of the following?

Blood Clots

Cancerous Tumors

Congestive Heart Failure

Kidney Failure

Open Wounds

Infection

None of the above

Why are you seeking MLD?

Reduce swelling or edema

Boost Immune function

Detoxification or removal of toxins

Improve circulation

Relieve chronic pain

Manage post-surgical recovery

Reduce fluid retention

Enhance skin health and appearance

Promote relaxation and stress relief

Aid in lymphatic health maintenance

Improve digestion or bloating

Recover from injury or trauma

Other (Please Explain)

I agree that I answered the above correctly.

Thanks for your interest in our MLD services. Responses typically take around 1-2 days due to the high volume of submissions.

bottom of page