Health Intake & Consent

Massage & Wellness Informed Consent

I understand that massage and wellness services are intended to promote relaxation and wellbeing and are not a substitute for medical diagnosis, treatment or advice from a qualified healthcare professional.

I confirm that I have provided information that is complete and accurate to the best of my knowledge regarding health conditions, pregnancy, injuries, allergies, medications and other circumstances that may reasonably affect the safety of my treatment.

I understand that massage may not be appropriate for certain health conditions and that my Provider may modify, postpone or decline treatment where there is a reasonable safety concern. My Provider may also recommend that I obtain medical advice or clearance before receiving treatment.

I understand that temporary tenderness, soreness, skin sensitivity, light-headedness or other reactions may occur following some massage or wellness treatments.

I voluntarily consent to the booked treatment and understand that I may request changes to pressure, technique or treatment areas, or withdraw my consent and stop the treatment at any time.

I agree to inform my Provider immediately if I experience pain, discomfort, dizziness, numbness or any other unexpected reaction during treatment.

Risk & Responsibility Acknowledgement

I understand that the Provider relies on the information I provide to determine whether and how the booked service can reasonably be performed.

I accept responsibility for informing the Provider of relevant health information and changes that may affect the treatment. To the extent permitted by applicable law, I accept the ordinary and inherent risks associated with the treatment I voluntarily receive.

Nothing in this acknowledgement excludes or limits liability where such liability cannot lawfully be excluded or limited.

Health Information & Privacy

I understand that the information provided in this form includes health information and will be used for the purpose of assessing and safely providing my booked wellness service.

I expressly consent to the processing of the health information I voluntarily provide for this purpose and, where necessary to provide my booked service, to making relevant information available to my treating Provider.

I understand that this information should be handled confidentially and in accordance with the applicable Privacy Policy.