To allow us to provide the safest, most comfortable, and beneficial massage we ask that you provide some relevent general health and medical information.
During the massage the therapist may need to work certain areas to help ease your pain. Check any area you would like the therapist to avoid during the massage.
Note: Breast tissue and genitalia are always avoided.
I have completed this form to the best of my knoweldge and agree to inform my therapist if any of the information changes.