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Emtoner pre medical check form

Please fill out the following medical form

(DO ANY OF THE FOLLOWING BELOW APPLY TO YOU)--- I DO NOT HAVE ANY METAL IMPLANTS IN THE AREA I WANT TO TREAT / I AM NOT PREGNANT OR PLANNING PREGNANCY / I do not HAVE AN IMPLANTED DEFIBRILLATOR / I DO NOT HAVE Hemorrhagic conditions / I HAVE NOT HAD RECENT surgical procedures / I DO NOT HAVE Epilepsy / I DO NOT HAVE A RECENT INJURY IN THE AREA I WANT TO TREAT
Click Yes if any of the above do apply to you

Thanks for submitting!

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