• Health History

  • Narrowing Your Treatment Plan

  • The following are massage caveats we want to avoid. Tell your therapist if you are experiencing any of the caveats listed below. 

    Our goal is to provide an experience completely customized to your needs and pressure/style specifications.
  • Please check when true during any previous massage.

  • Below are common styles that can emerge in a typical massage session. 

    Please check for the style/attributes that you would like to experience during this session.
  • Check any style of depth that describes your desired experience.

  • It is our goal to empower you to understand the basics of your body. Knowing your body will help you communicate with your therapist in order to facilitate the best results.

  • Please view the following image to determine (to the best of your ability) which muscles or areas are the reason for your visit.

    *Zoom in if necessary to determine muscle names
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  • INFORMED CONSENT & COVID RELEASE OF LIABILITY

  • In undertaking a massage with Deep Tissue Boise, I agree to the following:

  • The purpose of the massage is to provide stress relief, pain control and relaxation. I do not expect, nor will I ask my therapist to diagnose, prescribe for, or treat any of my symptoms. I understand that any relief of physical or emotional symptoms is the product or process that resides in me. The therapist cannot “fix” me.

     


    I understand that I am responsible for my emotions, feelings, body and belongings and that the therapist is responsible only for giving a massage. Control of the session is mine and I can always say, “Stop.” I understand that in order to receive a massage, it is necessary for me to remove my clothes. Anyone receiving a massage will be modestly covered with a sheet at all times as required by law. I understand that massage to the gluteal area or upper/inner thighs is often necessary for achieving requested relief and should in no way be interpreted as a sexual advance. I understand I may request at any time (before or during the massage) that these areas be avoided should massage in these areas make me in any way uncomfortable.


    I do not expect, nor will I ask my therapist to discuss or perform a sexual act. I understand that my therapist will not engage in any discussion of a sexual nature and that the massage will be terminated immediately if any verbal or physical sexual suggestions are made. I understand that Indecent Exposure is a misdemeanor offense that will be immediately reported to the police. I understand that my therapist is ethically and legally prohibited from ever engaging in any physical activity or romantic relationship with me or any client of Deep Tissue Boise.

     
    Because massage/bodywork should not be performed under certain medical conditions, I affirm that I have stated all my known medical conditions and answered all questions honestly.

    In the spirit of understanding, I agree to hold Deep Tissue Boise, Idaho Wellness Group, and my therapist blameless for any problem that might arise as a result of my massage sessions.

    INTOXICANTS

    It is the policy of Deep Tissue Boise that, for the safety of the therapist and client, massage services will be denied to clients who consume alcohol or drugs prior to their appointment or who appear to be under the influence of alcohol or drug consumption when they arrive for their appointment. I agree to comply with this policy.

    INFECTIOUS CONDITIONS

    My therapist is informed about infectious illness and skin conditions and routinely practices to protect himself/herself and others from the spread of disease. Any person who is experiencing abnormal or uncontrollable secretion or excretion of bodily fluids such as bleeding, vomiting, diarrhea, should not receive a massage until the condition is resolved.

    Any person who has a contagious condition including, but not limited to, strep throat, flu, chicken pox, measles, staph infection, or an infectious skin condition such as impetigo, should not give or receive a massage until the condition is no longer contagious. Other contagious skin conditions that should be made aware to the therapist include, but are not limited to, cold sores and warts; informing your therapist about these conditions will stop the spread of these conditions to other parts of my body, the therapist, and other clients.

    The therapist will use disposable gloves, a finger cot or adhesive bandage if the skin on her hands is not intact due to cuts, burns, abrasions, chapping, or damaged cuticles.


    I Have Read and Agree to all of the above Informed Consent:*

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  • COVID-19 INFORMED CONSENT & MANDATORY POLICIES

  • The City of Boise has laid out necessary guidelines for safely practicing massage during covid-19. The following guidelines will be upheld in order ensure we are able to stay open for you and all our clients in the Treasure Valley.

    1. Please Check Your Temperature Before Arriving. Your appointment should be rescheduled if your temperature is 100.4 or above. Exposing your therapist to fever and other covid-19 symptoms could put your therapist at risk, and therefore any clients that follow. Arriving with symptoms also threatens the safety of the other therapists at Idaho Wellness Group including their clients.

    2. Reschedule if you are experiencing even mild symptoms or have experienced symptoms in the two weeks prior to your appointment. We are counting on all of our clients to uphold this guideline.

    3. Please Wash Your Hands Upon Arrival. We will be sanitizing door handles and treatment rooms between clients but washing your hands will help keep risk of exposure to a minimum.

    5. Please No Additional Guests. Only those scheduled for massage should enter the office. Close contact services are already considered to be high risk so allowing additional guests at this time is just not responsible practice.

     
    In undertaking a massage with Deep Tissue Boise, I agree to the following:

    I understand that close contact with people increases the risk of infection from COVID-19. By signing this form, I acknowledge that I am aware of the risks involved and give consent to receive massage from Deep Tissue Boise and my therapist.

    In the spirit of understanding, I agree to hold Deep Tissue Boise, Idaho Wellness Group, and my therapist blameless for any problem that might arise as a result of my massage sessions.

    I understand that my name and contact information might be shared with the state health department in the event that a client or practitioner at this facility tests positive for COVID-19. My contact details will only be shared in the event they are relevant based on suspected exposure date, and only for appropriate follow-up by the health department.


    I have Read and Agree to all of the above Covid-19 Policies and Consent:*

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