New Client Intake Form
Welcome, and thank you for choosing The Care Collective!
POLICY – PLEASE READ
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: March 24, 2023
Medical History and Information