Massage Therapy Intake Form
Please fill out the following form after scheduling your first bodywork appointment.
I understand that the massage treatment(s) that I receive is/are provided for the purpose of relaxation, relief of stress, muscular tension, pain, and to aid the body with its natural healing process. A massage therapist works soft tissue and may integrate gentle range of motion exercises to the joints but will not administer spinal manipulations.
Because Massage should not be performed under certain medical conditions, I affirm that I have stated all my known medical conditions, and answered all questions honestly. I agree to keep the therapist updated as to any changes in my medical profile and understand that there shall be no liability on the therapist’s part should I fail to do so.
I understand that my bodywork therapist, Ceth, is not an RMT in Canada, and therefore sessions are not covered through any form of benefits.