Postoperative Massage
  • Date
     - -
  • Postoperative Massage Intake Form

    All information is held confident. At no given point is information disclosed or shared without client’s written consent. 
    Postoperative Massage Intake Form
  • Format: (000) 000-0000.
  • Health Information

  • 4. Frequency
  • 5. At what time of day is the pain at its worse?
  • Appointment

  • Make an Appointment
  • Client information are confidential and written authorization is required to release any information.

    We do not double book appointments

    24 hour cancellation notice is required 

    You will have a consultation with your therapist to discuss the session

    Inappropriate behavior will not be tolerated and may be prosecuted to the full extent of the law


    Client Agreement:

    I understand that this treatment is designed to address the care and prevention of fibrosis due to cosmetic liposuction 

    I understand that at any time I feel pain or discomfort during the session, I will immediately inform my massage therapist. 

    I have stated my medical conditions, and will update the postoperative massage therapist of any changes in my health status.

    By my electronic signature below, I agree to the massage policy and client agreement above. 

  • My Products

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    Arnica Oil  Product Image
    Arnica Oil
    Free$ Free
      
    Total
    $0.00$0.00

    Payment Methods

    creditcard
    After submitting the form, you will be redirected to Cash App Pay to complete the payment.
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