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Back · Lakes Entrance: Fitness 4U · SUBSEQUENT (PROGRESS) ECAL Metabolic Test (includes InBody 970 Scan) · Friday 13 November, 7:00am

Your Information

First NameRequired

Last NameRequired

PhoneRequired

Please use your own personal mobile. It becomes your permanent InBody scanner ID, which cannot be changed later.

EmailRequired

Host Membership?

(Don't worry, membership isn't usually required to book - this just helps us know who we're meeting!)

Are you a current member or staff of the business hosting this clinic?Required

DOB

Date of Birth - dd/mm/yyyy (exactly this format please)Required

ECAL Test Payment Notes:

To reserve an ECAL test appointment, we require minimum 50% payment at time of booking. This payment is non-refundable in the event that you do not arrive for your scheduled appointment, unless you have contacted us or used out booking system to cancel or reschedule with more than 24 hours notice. Thank you for your understanding.

How will you pay for your test?RequiredAny notes about your payment? (optional) - for example, splitting between cash or card.

ECAL Test plus InBody Scan Advice & Consent

Recommended Reading: (www.getscanned.com.au/preparingforecal) (www.getscanned.com.au/privacy)

Do you have a pacemaker or other implanted electronic medical device? (MAY be medically contraindicated - please discuss BEFORE attending appointment)RequiredIMPORTANT: I agree to prepare for an accurate ECAL Test by following the protocols described on the website page 'ECAL Test Preparation' (link above - please pay particular attention to the notes regarding InBody scans on the same page).RequiredI agree to the Get Scanned Privacy Policy (see 'recommended reading' above), including the collection of my personal information and the optional fingerprint capture by the InBody 970 scanner, and agree to be subscribed to the Get Scanned mailing list.RequiredNotes

Optional. Anything you would like us to know before your appointment.

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