Health History Form
An accurate Health History Form is required by law and is necessary to ensure that it is safe for you to receive a Massage Therapy Treatment. It is important to help design the most effective treatment plan. Answer all questions to the best of your ability. All client information will be kept confidential unless allowed or required by law, in which written authorization would be obtained prior to release of information.
Please note, the appointment time includes completion of any outstanding paperwork, consultation, assessment, change time and treatment.
If the client is under 16 years of Age a Parent / Legal Guardian Signature of Consent is required
Thanks for making the time!