Precise Rehab Sdn. Bhd.
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Precise Rehab consent form
Datas collected will be used for medical & follow up purposes only.
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State the area/areas that you currently having problem/s at:
Slipped disc
Lower back pain
Sports injury
Work related injury
Muscle strain
Joint sprain
Neck pain
Shoulder injury
Tennis and golf elbow
Others
Closest branch location
Please select
Hartamas
Bangsar
Shah Alam
Bukit Jalil
Titiwangsa
Georgetown, Penang
None of the above
Necessity of physical contact and exposure of treatment area.
Authorizing the release of all necessary information
I would like a follow-up session
Claim voucher!
