Acupuncture in Huddersfield

by Eileen Mannion

Client Information and Consent for Microneedling ‘Dermafix’

Please complete the following form and submit before your first microneedling appointment. Please make sure to read the contraindications, side effects and post treatment care.

Mobile preferred
Please describe the main reason that you are seeking acupuncture treatment – symptoms, timeline, causes (if known)
Name of medication, dose. Say “none” if applicable.

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