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Once you have submitted this form, please be available to take the phone call within the next 10 minutes - 1 hour. However, during our busy times, this may be up to 2 hours. Please be aware, the call will come from a withheld number and all calls are recorded for training and monitoring purposes.

Telephone 999 for an ambulance if you have experienced any of the following in the last 24 hours after your treatment:

• loss of consciousness
• severe allergic reaction
• a confused state
• concern for a heart attack or stroke
• chest pain
• slurred speech
• breathing difficulties
• fits that aren't stopping