Why Get a Massage? | Policies | Health Intake Form | Feedback Form
Health Intake Formhealthintakeform.pdf (Acrobat Reader required) Our goal is to contribute to your overall health and well being, and it is important that we are aware of your current health conditions. Before we can provide your first massage, we require that you complete and sign a health intake form. You only need to do this once -- at subsequent appointments we will only need to update your information, as needed. We ask that you complete this form before your first appointment and bring it with you, so we can start your session on time. Your information is used only for the purpose of ensuring the best possible massage experience for you, and is held in strictest confidence. A Doctor's Referral is required if you have any of the following conditions: uncontrolled high blood pressure and/or diabetes, blood clots, deep vein thrombosis (DVT), pregnancy, recent head, neck, or spine injury, recent surgery or fracture, cancer, any health condition which seriously impairs vital organ function, and any other condition we determine needs doctor approval for massage. Massage will NOT be provided to those who: 1) have an acute and/or infectious illness, a fever, or are very recently over an illness; 2) are intoxicated; 3) have an infectious or inflammatory skin condition (exception: if the skin condition is localized we may offer a modified massage which avoids the area in question); 4) have any other condition we determine poses too great a risk to the client or the therapist. Thank you! |
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