Health History & Intake Form

I understand that the massage therapy services provided by Sue RMT are for relaxation, stress reduction, relief of muscular tension, and improvement of circulation and energy flow. If I experience any pain or discomfort during the session, I will immediately inform the therapist so pressure and/or techniques can be adjusted.

I further understand that massage therapy is not a substitute for medical care, diagnosis, or treatment, and that it is recommended I consult a physician for any condition I may have. I have disclosed all known medical conditions and medications and will keep the therapist informed of any changes to my health.

I acknowledge that draping will be used at all times and that I may end the session at any point. I consent to receive massage therapy treatment from Sue, RMT.