Client Intake Form
I understand that massage therapy given here is for the purpose of stress reduction, relief from muscular tension or spasm or for increasing circulation and energy flow, and to contribute to the well being of my body and mind. I understand that the massage therapist does not diagnose illness, disease or any other physical or mental disorder. As such, the massage therapist does not prescribe medical treatment or pharmaceuticals, nor does he/she perform any spinal manipulations I understand that massage therapy is not a substitute for medical examinations and/or diagnosis and it is recommended that I see a physician for any physical ailment I might have. Because a massage therapist must be aware of existing physical conditions, I have stated all my known medical conditions and assume all responsibility and liability for information I do not disclose to the massage therapist in this or future massage sessions.
A 24-HOUR NOTICE OF CANCELLATION IS REQUIRED, OR YOU WILL BE CHARGED FOR THE MISSED APPOINTMENT.