Quick Pre-Massage Consultation Form with Covid Questions

  • This is just a quick check to make sure you're well enough to be massaged and are free of Covid symptoms. Please complete it up to 48 hours before each therapy session. If there are no changes since I last saw you, only complete the minimum info required 🙂 Thanks!
  • Medical Information Gathering

    Some medical conditions may require you to receive permission from your GP before a treatment can be conducted. This is for your own safety. Please discuss any issues with your therapist before the treatment begins.
  • If yes, please provide details.
  • Lifestyle Questions:

  • Health Statement:

  • Thank you for completing this form up to 48 hours before your therapy session. I look forward to seeing you soon!