Massage Intake Form
By signing below, you agree to the following.
I have completed this form to the best of my ability and knowledge and agree to inform my Massage Therapist of any changes in the above information. I have been informed of and understand the contraindications to the requested treatments and agree that I do not have any condition(s) that would make the requested treatment unsuitable. I will inform the technician of any discomfort I may experience at any time during my treatment to allow them to adjust accordingly. I agree to waive all liabilities toward my technician and the business for any injury or damages incurred due to any misrepresentation of my health history. I understand if I am a no-show or last minute cancellation, I will be charged full price. I will arrive 10 minutes before my scheduled time appointment to insure the full service time.
Today's Date: June 6, 2023