New Client Intake Form
Welcome, and thank you for choosing The Care Collective!
POLICY – PLEASE READ
- If cancellation is necessary, please give 24-hour notice. If you do not give notice you will be charged for the full price of the massage missed. Emergency cancellations are determined at the practitioner’s discretion.
- Sessions begin and end at scheduled times. If you arrive late, you will lose that time off your session and will still be charged full price.
- Please do not be under the influence of alcohol or drugs because massage can be dangerous to you under these conditions.
- Clients must provide a health history and update when necessary.
- Payment is expected at the time service is rendered.
- Sexual harassment is not tolerated.
- If the practitioner’s safety feels compromised, the session is stopped immediately.
- Wear loose or comfortable clothes
Massage Therapy Informed Consent
I (client) understand that massage therapy provided by, The Care Collective is intended to enhance relaxation, reduce pain caused by muscle tension, increase range of motion, improve circulation and offer a positive experience of touch. The general benefits of massage, possible massage contraindications and the treatment procedure have been explained to me. I understand that massage therapy is not a substitute for medical treatment or medications, and that it is recommended that I concurrently work with my Primary Caregiver for any condition I may have. I am aware that the massage therapist does not diagnose illness or disease, does not prescribe medications, and that spinal manipulations are not part of massage therapy. I have informed the massage therapist of all my known physical conditions, medical conditions and medications, and I will keep the massage therapist updated on any changes. I understand that there shall be no liability on the practitioner’s part due to my forgetting to relay any pertinent information. If I experience any pain or discomfort during the session, I immediately communicate that to the therapist so the treatment can be adjusted. I have reviewed the therapist’s policies, and I understand them and agree to abide by them. I acknowledge that with any treatment there can be risks and I assume those risks.
Today's Date: January 22, 2022