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Client History & Consent Form

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Please tick any of the following that apply to you:
Affected areas:

I have chosen to consult with and hereby give consent for remedial massage therapy. I have provided a detailed medical history. I do not expect the therapist to have foreseen any previous or pre-existing condition that I have not mentioned.

 

I understand that massage provides benefits for certain conditions but are not guaranteed. I also understand that massage therapy may produce side effects such as muscle soreness, mild bruising, increased awareness of areas of pain and light-headedness amongst other possible temporary outcomes.

 

I am aware that the therapist does not diagnose illnesses, prescribe medications nor physically manipulate the spine or its immediate articulations.

 

The therapist understands that I have the right to question procedures and to receive an explanation of any procedures that the therapist performs.

 

I will tell the therapist about any discomfort I may experience during the therapy session and understand that the therapy will be adjusted accordingly.

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