Health Form

Every client MUST have an updated health form on file before their session. Please complete as soon as you have booked your appointment online. (If you have completed a health form within the last year, you only need to update if their are changes to your health.)
Full Name E-mail Phone Number Date of birth Occupation Date of last massage (if applicable) Please list any allergies Are you pregnant, if so, please list do date. Please list health conditions and/or recent surgeries (within past year).
I understand that all appointments require a 24 hr. cancellation notice or possibly be billed the cost of the session.
I understand massage is not a replacement for medical care and no diagnosis will be made.
I understand services offered are non-sexual and if such speech or actions occur, the session will be ended immediately.
Please list areas of concern I agree to the Terms & Conditions and Privacy Policy Submit