Massage Therapy Client Information & Waiver Release Form   Logo
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  • Massage Therapy Client Information & Waiver Release Form

    Please complete this form prior to your appointment
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  • This is a fill in the field. Please add appropriate fields and text.

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  • Client Intake Form

    Check the following conditions that apply to you, past and present. Please add your comments to clarify the condition.







  • I understand that a mask is required for my and the therapist safety. I understand a deposit is required to book all appointments. I understand that a Massage Therapist does not diagnose disease, illness, or prescribe any treatment or drugs, nor do they provide spinal manipulation. I understand that draping will be used at all times and that breast massage will not be administered on female clients. I understand that if I or the therapist become uncomfortable for any reason that either shall end the session.  I understand that the Massage Therapist may end the session for any inappropriate behavior. I have stated all of the conditions that I am aware of, and this information is true and accurate. I will inform the Massage Therapist of any changes in my status.

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