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NEW PATIENT INQUIRY FORM
604 589 2291
Mon-Wed 8:30am-5:00pm
H O M E
OUR CLINIC
About The Clinic
About The New Owner
About The Founder
OUR EXPERTISE
What is Dr. Vodder MLD?
Can Dr. Vodder MLD Help me?
Services
Treatment Fees
C O N T A C T
More
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New Patient Inquiry Form
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First name
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Last name
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Email
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Phone
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What brings you to lymphatic drainage?
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Do you have history of Congestive heart failure?
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Do you CURRENTLY have blood clots?
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Do you have a HISTORY of blood clots?
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What are your reasons for coming for treatments?
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Are you seeking PRE operative cosmetic surgery treatment?
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Are you seeking POSToperative cosmetic surgery treatment?
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Do you currently have any infection?
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Are you on antibiotics?
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If I have availability in my clinic schedule, what is your best times/days to be booked in?
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How did you hear about us?
Web search on lymphatic drainage
Google maps
Referral from another healthcare professional
Referral from a friend
Other
Submit
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