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Mobile lymphatic drainage and massage services in Adelaide

Before We Get Started

Please complete the Health History Form below to help us assess your needs and ensure safe, appropriate care.

All information is treated as confidential and is reviewed personally prior to booking.
Submitting this form allows us to understand your situation and discuss suitable treatment options, availability, and pricing.

Please note:
Submitting this form does not guarantee treatment. Appointments are confirmed only after assessment and payment.

Health History Form – Manual Lymphatic Drainage (MLD)

All information is confidential and used to ensure safe and effective treatment.

Client Details

Full Name * Date of Birth (DOB) * Phone Number * Email * Address * Emergency Contact Name & Phone * GP / Specialist Name (optional)

Reason for Seeking Manual Lymphatic Drainage

Post-surgical swelling Lymphoedema (primary / secondary) Lipedema Chronic inflammation Sinus congestion Digestive / gut support Stress / relaxation

Cosmetic & Aesthetic Surgery History

Liposuction BBL (Brazilian Butt Lift) Tummy tuck / Abdominoplasty Body contouring (e.g. arms, thighs, flanks) Breast surgery (augmentation / reduction / lift) Fat transfer Face or neck cosmetic surgery Non-surgical aesthetic procedures (e.g. Morpheus8, RF, fillers)

Medical History

Cancer (type, year, treatment) Lymph node removal or radiation Lymphoedema diagnosis Heart disease / heart failure High or low blood pressure Blood clots / DVT / pulmonary embolism Stroke or TIA Kidney disease or renal impairment Liver disease Thyroid disorder Autoimmune or inflammatory disease Diabetes Asthma or chronic respiratory condition Active infection or fever Skin conditions (eczema, cellulitis, ulcers) Recent surgery (within last 6–12 months)

Current Symptoms

Swelling Pain or heaviness Tightness or reduced mobility Fatigue Digestive bloating Recurrent infections Sleep disturbance Anxiety or stress

Medications & Supplements

Women’s Health

Lifestyle Factors

Contraindications & Safety

Consent & Acknowledgement

I confirm that the information provided above is accurate and complete to the best of my knowledge. I understand that Manual Lymphatic Drainage is not a substitute for medical care and that I will inform the therapist of any changes to my health. I consent to receive Manual Lymphatic Drainage therapy.

What Happens Next

Once your form has been submitted:

Your information will be reviewed
You will be contacted to discuss suitability, availability, and pricing
Payment details will be provided if proceeding
Your appointment will be confirmed once payment is received



+61 431 711 948

📧 Email: pranapraday@gmail.com
📍 Service Area: Adelaide (mobile service)
🕒 Service Hours: Tuesday – Sunday, by appointment only

Privacy and Safety Note

Information submitted via this form is kept confidential and used solely for assessment and treatment planning. This form does not replace medical advice.

Prana Praday
Lymphatic Drainage & Massage

Mobile lymphatic drainage and massage services in Adelaide, delivered by a Registered Nurse with a focus on safety, care, and wellbeing.

Services

Manual Lymphatic Drainage
Post-Surgical Aftercare (Cosmetic)
Relaxation Massage
Lymphoedema Management & Compression Therapy (Coming Soon)

Book an Appointment

📞 Phone: +61 431 711 948
📧 Email: pranapraday@gmail.com
📍 Service Area: Adelaide (Mobile Service)

Booking Note:
Appointments are confirmed once payment is received.

LEGAL & SAFETY

Important Information

Payment & Booking Policy
Risks & Contraindications
Privacy Policy
Disclaimer

Prana Praday provides complementary therapy services. Lymphatic drainage and massage are not a substitute for medical care. Please consult your healthcare provider for medical advice.

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