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Holistic Therapies Screening

Address
GP Name & Address:*
Medical Questionnaire
Are you currently experiencing OR ever been diagnosed with any of the following conditions?
Which, if any, of the following conditions have you been diagnosed with or had treatment for

Thanks for submitting!

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Location

Physio & Wellness Hub

Unit 2
Carlisle House, Adelaide Road, Bray, Co. Wicklow, A98 K2Y3

Opening hours

Mon & Thu: 9am - 9pm

​​Tue & Wed: 9am - 3pm

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Sat: 9am - 3.30pm

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