Massage Therapy Consent Form

To tailor your massage specifically to your needs please answer the following questions

1. Have you ever had a massage before?(Required)
2. What pressure would you like the Massage Therapist to use during the massage?(Required)
3. During my massage, I prefer:(Required)

Payment Information

Payment Information(Required)

Cancellation of Appointment

Cancellation of Appointment(Required)

Informed Consent for Assessment and Treatment (Massage Therapy)

Informed Consent for Assessment and Treatment (Massage Therapy)(Required)
Patient (or Guardian) Name(Required)
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