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  • Home
  • About Hazel
    • Reflections
  • Cranio Sessions
    • What is Biodynamic Craniosacral Therapy?
    • Book a Session
    • Free Consultation
  • Yoga
    • Yoga Classes
    • Yoga Therapy
      • Book a Session
      • Free Consultation
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Intake Formadmin2023-11-22T19:20:26+00:00

Client Intake Form

dd/mm/yyyy

major illnesses, long term conditions, or health issues, or anything unusual for the following family members: For example, Mother, Father, Grandparents, siblings etc.
Number of pregnancies and births with dates. Were there any complications/ miscarriages/ terminations? If currently pregnant, how many weeks?

Please tick any of the following which you may have issues with either recently or in the past.

Head and Neck
Nervous system
Skin and infections
Musculoskeletal
Cardiovascular
Respiratory
Emotional/ mental
Other conditions

Have you experienced Craniosacral Therapy previously?
Have you got any concerns with getting a B-CST session?
Date of last treatment/ name of practitioner/ list your concerns here
I understand that Biodynamic CranioSacral therapy (B-CST) is a profound, yet gentle hands-on modality that works with the subtle rhythm of the cerebrospinal fluid in the body and is used for stress reduction and relaxation which precede healing process. It gives support and encourages body's systems to reestablish balance physically, mentally and emotionally.
 
BCST has been shown to be effective in treating a wide range of physiological issues associated with pain and loss of biomechanical, systemic and emotional function/wellbeing.
 
I understand that B-CST can complement any medical or psychological care I may be receiving. I understand that B-CST does not take the place of medical care.
 
I acknowledge that long term imbalances in the body sometimes require multiple sessions in order to facilitate the level of relaxation needed by the body to heal.
Hazel McLoughlin

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