New Patient Forms

If you are a new patient, or are receiving a service for the first time, please download and complete the appropriate form based on your chosen service and bring with you to your appointment .

 

Thank you!

Initial Consultation Forms

Pregnancy Massage

Please complete this form prior to attending your first Pregnancy Massage consultation.

Remedial Massage

Please complete this form prior to attending your first Remedial Massage consultation. This includes C-Section Scar Therapy.

Pre & Postnatal Exercise

Please complete this form prior to attending your first pre/postnatal exercise consultation. This includes Diastasis Recti consultation.

Pregnancy Massage & Informed Consent

Pregnancy Massage Information:

 

Massage during pregnancy offers many benefits. It enhances circulation which provides more oxygen and nutrients to both mother and baby. It can relieve the sensation of heaviness and aching in your legs caused by swelling or varicose veins.

 

It can optimize your muscle tone and function, relieve muscle strain and fatigue, and reduce strain on your joints. Pregnancy massage reduces stress and promotes relaxation, contributing to a healthier pregnancy. If you have been told that your pregnancy is high-risk, please notify your therapist.

 

Please read and sign the acknowledgement below:

 

I have received and read written information concerning the possible benefits of massage therapy during pregnancy.

 

I verify that I am experiencing a low-risk pregnancy, and have stated all my known medical conditions and take it upon myself to keep the therapist/practitioner updated on my health.

 

I understand that I will be receiving massage therapy for the purpose of stress reduction, relief from muscle tension o spasm, or for increasing circulation and energy flow.

 

I understand that the massage therapist does not diagnose illness, and as such, the massage therapist does not prescribe medical treatment or pharmaceuticals, not do they perform and spinal manipulations.

 

I am aware that this massage is not a substitute for medical examination/diagnosis and that it is recommended that I see a physician for any ailment that I might have.

 

I understand and agree that I am receiving massage therapy entirely at my own risk. In the event that I become injured either directly or indirectly as a result, in whole or in part, of the aforesaid massage therapy, I hereby hold harmless and indemnify the therapist, their principals, and agents from all claims of liability whatsoever.

 

I understand that payment is due at the time of treatment unless arrangements have been made otherwise.

Thank you!