Intro
Dublin│Hamburg
Our Story
Publications
Clinic treatment packages
Home
Dublin
Hamburg
Escapada Hamburg
Clinic Team Hamburg
DUBLIN
What We Do
Health Clinic
Yoga
Infrared Sauna
Workshops
Corporate Health
Gift Cards
Escapada APP
About us
Our Story
The Escapada Method
Guest Reviews & Press
Contact
Retreats
Retreats
E-Magazine
Hamburg
Escapada Hamburg
Unser Hamburg Team
Über uns
Über Uns
Die Escapada Methode
Gästestimmen & Presse
Kontakt
Behandlungen
Behandlungsangebot
Behandlungsmethoden
Behandlungsspektrum
Virtuelle Beratung
Gutscheine
E-Magazin
Intro
Dublin│Hamburg
Our Story
Publications
Clinic treatment packages
Home
Dublin
Hamburg
Escapada Hamburg
Clinic Team Hamburg
DUBLIN
What We Do
Health Clinic
Yoga
Infrared Sauna
Workshops
Corporate Health
Gift Cards
Escapada APP
About us
Our Story
The Escapada Method
Guest Reviews & Press
Contact
Retreats
Retreats
E-Magazine
Hamburg
Escapada Hamburg
Unser Hamburg Team
Über uns
Über Uns
Die Escapada Methode
Gästestimmen & Presse
Kontakt
Behandlungen
Behandlungsangebot
Behandlungsmethoden
Behandlungsspektrum
Virtuelle Beratung
Gutscheine
E-Magazin
Welcome to Escapada Health
Please fill in the following form with as much information as you can.
We look forward to looking after you.
Name
*
First Name
Last Name
Email
*
Date
MM
DD
YYYY
Please give detail of past medical/surgical history
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Medication
Please specify any regular medication including supplements or oral contraceptive pill. If none, please enter 'none'
Presenting Complaint/ issue
Please provide as much information as possible, for example: Duration / Location / Frequency / What makes it worse or better
Anything else that you feel we should know before you start your treatment with us?
Thank you for your time!
We look forward to looking after you
