TOM MALCHI
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Book your spot
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Water Cleanse Sunday 29th Sept ($200)
One-On-One / Private session with Tom ($250)
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Referring Person (if first time)
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The information you provide will remain confidential.
It is very important that you share this information accurately and honestly so we can make sure you have the safest and
most beneficial session.
Have you received Kam before?
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Do you currently suffer from any physical/ mental conditions/ severe allergies (please specify)?
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Past surgeries, major illnesses (including psychiatric) & accidents
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Current and past medications and supplements
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Please check the boxes if you have or had any of the following conditions
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Blood Clots
Heart related health issues past or present
Blood pressure issues very high or very low
Any surgeries in the past 6 monthes
Organ transplant
Stroke
Currently Pregnant or Breastfeeding (-1yo)
Normally/or in the past week drink mostly distilled water/ reverse osmosis water without remineralizer
None of the above
Liability
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I AGREE THAT I HAVE READ CAREFULLY THIS LIABILITY WAIVER (presented in the link below) AND FULLY UNDERSTAND AND AGREE WITH THEIR CONTENTS.
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