Client Information Form- CONFIDENTIAL
WELCOME! We would like to make your appointment as pleasant and comfortable as possible. If at any time you have any questions regarding your session, please let us know.
All information is confidential. It will not be shared with or sold to any other companies or parties.
The following sometimes occurs during massage and are normal responses to relaxation. Trust your body to express what it needs to: Need to move or change position, sighing, yawning, change in breathing, stomach gurgling, emotional feelings, energy shifts, falling asleep, memories
Please read the following information and sign below:
- I understand that although massage therapy can be very therapeutic, relaxing and reduce muscular tension, it is not a substitute for medical examination, diagnosis, and treatment.
- This is a therapeutic massage and any sexual remarks or advances will terminate the session and I will be liable for payment of the scheduled treatment.
- Being that massage should not be done under certain medical conditions, I affirm that I have answered all questions pertaining to medical conditions truthfully.
Today's Date: October 21, 2019