Bondslane 產後紥肚服務轉介表格 Bondslane Maternity Limited- Postpartum Belly Wrapping Referral Request Form
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1. 如何稱呼你? How do we address you?  *
2. 你現在居於英國那一個城市? Which city do you live in the UK? *
3. 你的住址 What is your postcode? *
4. 聯絡方法 Contact method *
5. 預產期或已分娩之日期 Your estimated date of confinement (EDC) or date of delivery *
6. 計劃分娩方式或分娩方式 Planned method of delivery or method of delivery
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7. 你現在有多少個孩子? How many children do you have before this gestation?
8. 你有沒有皮膚敏感? Do you have skin allergy?
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