Patient Referral

Refer your patients for priority treatment

If you are a provider with patients that need MLD pre/post op, or general wellness, please submit your referral on the form. We will prioritize their appointment and work with your surgical schedule to ensure the best care. You can reach us by text or phone at 920-389-5097 with any questions.

Manual Lymphatic Drainage Massage (MLD) | Lymphatic Massage | Lymphatic Drainage

Our cancellation Policy:48 hour prior to the appointment is appreciated. There is a 50% fee to cancel within 12 hours and a 100% no-show fee. If you cannot make your appointment, please let us know as soon as possible by calling 920-389-5097 or by canceling in our online appointment portal. Credit card payments are subject to 2. 9% service upcharge. Cash is our preferred method of payment.

Please consult your physician before your session if you are under care for any medical conditions that you may be concerned about, or that are a contraindication to our services. Please consult with your primary care provider if you have any questions about changing your current medical plan. We will not alter or change any medications or provide a diagnosis for any conditions. Although MLD is beneficial to a number of conditions, it is not for everybody.

Please note that clearance from your health care provider may be required prior to treatment or we may need to request further information on your condition. Contraindications include Congestive heart failure, DVT, Kidney disorders, Acute inflammation not related to the surgical site or condition, certain infection, malignancies, Arteriosclerosis, Acute cold/flu, Fever, Covid, history of blood clots, Stroke and Some medications.

No service will be performed on anyone under the influence of alcohol or recreational drugs, or under the age of 18 (without parental consent.).

This information does not replace medical advice or instructions given by your provider and are not construed as medical advice. This is general information only, and your procedure or situation may differ from that of other patients. If you have any questions, please call your provider.

Located inside of LUX Spa, De Pere, WI

Patient Referral

Refer your patients for priority treatment

Patient Referral Form

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