WELCOME

NEW CLIENT CONSENT FORM

(So we can send you a special treat on your birthday!)

Do you take Warfarin?
Do you have a pacemaker?
Are you, or is there any possibility you may be pregnant?
What are your reasons for visiting Pure Wellness Studio?
How did you hear about us?

Do you want to receive information & discounts from us?

We do not provide medical advice, education or treatment. For all medical questions, please seek advice from your doctor. *

Suite 604, Level 6, 125 Swanston St

The Century Building, MELBOURNE VIC 3000

Monday - Friday: 8am - 8pm

Saturday: 10am - 4pm

Sunday: CLOSED

0468 852 555

info@purewellnessstudio.com.au

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©2019 by Pure Wellness Studio | ABN 53 627 466 595 | Website design by More Than Your Brand 

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