Initial information

This form asks about medical history and reasons for treatment. Please answer only if you feel comfortable to do so without having met me in person.


You can reach Touching Well by mobile: 0794 227 6538, or via our landline 0115 648 9636, or the contact form.

Opening times: Monday to Thursday daytime

 I hope to see you soon. With warm regards, Regina


Please cancel if you have Covid-19 symptoms, or if you have a positive Covid test.

Initial information

Please note that all fields followed by an asterisk must be filled in.

Please enter the word that you see below.

  

Thank you for your cooperation.

I look forward to meeting you.


I will need to keep the information on the form in line with General Data Protection Regulation (“GDPR”).



List of treatments
Myofascial Release (MFR) - Saving Hands massage -
Therapeutic massage -
Maya Abdominal Therapy -
- Seated Acupressure - Indian Head Massage - Pulsing - Reiki -
- Reflexology - Tsuboki Foot Massage - Hopi Ear Candles -
-
Hot and Cold Stone Massage - Myofascial dry cupping -
-
Aromatherapy Massage - Aromatherapy Lymphatic Massage (ALM) -
- Fertility Massage - Pregnancy Massage - Post-natal Massage -
- Dorn Method - Breuss Massage -
- Manual Lymphatic Drainage (MLD) - Deep Oscillation -
 - Treatment for lymphoedema - Treatment after cosmetic surgery -
-
Holistic Facial - Face Vitality - Total Detox -
 - Virtual sessions - Supervision


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