First Name
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Last Name
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Date of birth
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Best Phone
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Best Email
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Tell us what's happening
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blocked milk duct
elbow pain or stiffness
foot/ankle pain or stiffness
headaches
jaw pain
knee pain or stiffness
lower back/hip pain or stiffness
lymphedema/swelling
mid-back pain or stiffness
neck/shoulder pain or stiffness
pelvic floor issues
prenatal issues
postnatal issues
sport injury
vertigo/ dizziness/ or balance disorder
weakness
wrist/hand pain or stiffness
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