Health Questionaire

Yes
No
Yes
No
Yes
No
Yes
No
Neck
Shoulders
Hips
Lower Back
Legs
Yes
No
Deep Tissue Massage
Sports Massage
Swedish Massage
Integrative Massage
Pregnancy Massage
Terms and Conditions- Please take a moment to carefully read the following. The above information is accurate to the best of my knowledge and I freely give my permission to be massaged. Since massage is contraindicated for some serious medical conditions, it may be necessary to obtain a doctor’s release or prescription before beginning therapy. I agree to inform the therapist of any experience of pain during the session. I understand that massage therapy should not be construed as a substitute for medical examination, diagnosis, and treatment, and that I should see a medical or chiropractic physician or other healthcare specialist. I agree to update the massage therapist in regard to changes in my health and understand that there shall be no liability on the therapist’s part should I forget to do so. 

Cancellation Policy
If for any reason you have to cancel please give us a 24 hour notice. A cancellation less than 24 hours of your appointment or a no show will result in a $50 charge per person to your Credit Card or your Gift Certificate. Rescheduling with the 24 hours is also considered as a cancellation

By submitting above I agree to the above terms and consent.