Follow Up

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Post Treatment Survey

Please fill in the form below at 3, 6 and 12 months after completing your treatment at Midlands Diving chamber for Long Covid.

All information is secure and will only be seen by Dr Gonevski.

    Your name

    Your DOB

    How many treatments did you complete at MDC?

    How many months since completing treatment?

    Main symptoms before treatment

    Symptoms remaining immediately after finishing treatment at MDC

    How do you feel now?

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    Contact details

    Rugby 01788 579555 phone icon

    If you have any questions about Oxygen Healing we would love to hear from you

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