Manual Lymphatic Drainage Client by Ben Larson | Jan 25, 2021 JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.Manual Lymphatic Drainage ClientManual Lymphatic Drainage (MLD) is a VERY gentle, slow, repetitive and rhythmic massage that mimics the action of your body’s lymph system and helps to reduce swelling and pain. The Lymphatic System is a key part of your cardiovascular system; therefore, if you have certain heart conditions, it is not advisable to receive MLD treatment. It is critical that the heart and kidneys are functioning well enough to process the lymphatic return that is stimulated by the specialized massage. If your Lymphatic system itself (i.e. lymph node removal) is itself compromised, certain precautions need to be taken in the MLD treatment. If you are being treated post surgery, all tubes need to be removed and no fluid will be drained from incision areas during your treatment.Sign in to Google to save your progress. Learn more* Indicates required questionEmail *Your emailClient full name *Your answerClient phone number *Your answerWhy are you seeking Manual Lymphatic Drainage? (Condition – please be specific) *Your answerIs your visit due to a surgery? *YesNoIf yes, What type of surgery Your answerWhat was the date of the surgery?MM / DD / YYYYHas your condition been diagnosed by a health care professional? (Did they recommend you receive MLD?) *YesNoIf yes, please provide the name and phone number of the referring health practitioner. Your answerDo you have or have you had any of the following? *Heart DiseaseKidney DiseaseCancerDeep Vein Thrombosis (blood clot)Unexplained pain or swellingCompromised Lymph systemSkin RashNone of the aboveRequiredIf YES, please explain.Your answerWhat medications are you currently taking and for what condition are they prescribed? *Your answerWhat to Expect at Your Appointment MLD is a light, skin stretching technique; it requires skin-on-skin contact to be performed effectively. Clients are asked to be completely undressed beneath the sheet and blanket. You will always be professionally draped to maintain your privacy, comfort and warmth. If you feel the need to leave your underwear on, of course, your decision will be respected. Your feeling of safety and comfort is first and foremost. In that case, please be sure that you are wearing briefs, rather than boxers or “boy shorts.” The Lymphatic System has a specific direction of flow and pathway through the body. Clearing the areas “in front” of the focus area is a key part of the treatment. You can think of it like clearing the leaves and debris from gutters. You cannot ask the gutter to receive more debris, if it is already full. It’s the same with your Lymphatic System. MLD is facilitating greater movement of the lymph fluid and therefore we need to prime and clear the lymph nodes in front of the problem area as well.Please confirm that you have read the above explanation. *I have read the explanationRequiredI understand that a credit card will need to be put on file to hold my appointment. I give Tree of Life authorization to charge my credit card on file for cancellations made within 24 hours of my appointment and / or no shows. *I understand I will be charged for no shows / late cancelationsRequiredSubmitClear formNever submit passwords through Google Forms.This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy Forms