Massage Therapy Consent and Waiver

First and Last Name

Phone

What are your primary areas of concern; what areas should I pay special attention to?

What are your expectations for today's session, this could range from pain relief, release of muscle knots, to relaxation or a combinationof those things. The amount of pressure is based on the session you chose; Swedish, Deep or Hybrid.

Please list any medical, physical, or mental issues which I need to be aware of. This could include but is not limited to emotional or physical trauma, broken, fractured or injured muscles or bones, fibromyalgia, any types of cancer, skin conditions; including open sores, scrapes, bug bites, and skin rashes.

Are there any areas you would like for me to avoid?

When was your last massage?

Your comfort is one of my top priorities. For your health and safety and mine, please avoid booking a session if you are within 72 hours of getting over a illness that is contagious.

By clicking this box, I hearby acknowledge that I have read and agreed to the terms and conditions stated in the Massgae Therapy Consent and Waiver. *Click here to open*View Massage Therapy Consent and Waiver

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