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    Confidential Massage Health History Form

    Consent is required to massage each part of the body. Please indicate which areas you would like included.
    ​I understand that:
    In accordance with the scope of practice of a massage therapist as well as adhering to regulatory and statutory
    requirements it is not the role of the massage therapist to diagnose injury or illness, or prescribe medication.
    Please write your name and date below to confirm that the information you have provided is correct to the best of your knowledge.
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  • Home
  • Get In Touch!
    • Pre-Exercise Form
    • Setup Direct Debit Request
    • Massage Health History Form
    • Locations
  • Mobile Exercise Physiology
  • Mobile Massage
  • Blog