To the best of my knowledge, the information I have given is true, and I have not withheld any information concerning my health.
In consideration of any contraindications indicated above, I agree to provide proof of medical permission to receive the complimentary treatments from the therapist. If medical permission cannot be obtained, I acknowledge that I have read and agreed to the details outlined here and my signature below is proof of my informed consent.
I understand that the therapist does not diagnose illness, disease, or any other physical or mental condition. I understand that this treatment is not a substitute for medical examination, diagnoses or treatment. While I recognise that all due care will be taken by the the therapist, I am fully aware that my participation in the treatment is voluntary.
I have completed this health form to the best of my knowledge, I understand that massage is a health aid and does not take the place of any medical care. Any information exchanged during a treatment session is confidential and is only used to provide you with the best care and service.