Pregnancy Form

I wish to verify that it is my choice to receive massage therapy. I realise that the treatment is being given to promote my wellbeing. I agree to communicate with my massage therapist if at any time I feel my wellbeing is being compromised.

I understand that it is not the role of my massage therapist to diagnose injury or illness or prescribe medications. I acknowledge that massage is not a substitute for medical examination or diagnosis and that it is recommended that I see a primary health care provider for that service.

I have stated all medical conditions of which I am aware and will update my massage therapist of any changes in my health statement.