Intake Form

The above information is true to the best of my knowledge. I take full responsibility for making my therapist aware of any changes to my health. I understand that massage therapy is not a substitute for professional medical attention. I understand that massage therapists do not diagnose disease, prescribe medication, or manipulate bones. I understand that sexual misconduct of any kind will not be tolerated. For the comfort of both client and therapist, the client will be draped throughout the entire massage session. No exceptions. I reserve the right to end the massage at any time and so does my massage therapist.