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Before you arrive

This for is for new clients who have booked with us.

Before we treat any new customer, we need to

understand your health status and any concerns

we need to consider during your treatment. 

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Save 10 mins time filling in this form during treatment.

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This form is sent privately to our therapist,

and will be treated as confidential.

New Client Form

Please take a moment to fill out the form and submit 24 hours before your treatment

Are you...
Head & neck problems?
Respiratory Conditions
Any nerve problems?
Musculoskeletal system
Skin and infections
Cardiovascular
Other conditions
It is my choice to receive massage therapy. I am aware of the benefits and risks of massage and give my consent for massage. I understand that there is no implied or stated guarantee of success of effectiveness of individual techniques or series of appointments. I acknowledge that massage therapy is not a substitute for medical care, medical examination or diagnosis. I have stated all medical conditions that I am aware of and will inform my practitioner of any changes in my health status. 

I understand that my personal health information will be collected. I understand that all information that I provide will be kept confidential unless required by law. I understand and consent that my medical information may be shared by the various care providers involved in my care and treatment.

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Thanks for submitting! See you soon.

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