New Client Intake Form

Complete this form once you have made your booking. We use this information to make your treatment as comfortable as possible and to keep your health and wellbeing a priority at all times.

Name
Email
Emergency Contact
Do you have any allergies? (if yes, write in comments section below)
Have you had any recent injuries, surgeries or medical visits? (if yes, write in comments section below)
Are you currently taking any medications? (if yes, write in comments section below)
Do you have any of the following conditions?
Are you, or could you be, Pregnant?
I have read, understood and agree to the treatment disclaimer
Sports massage therapy is generally safe and beneficial when performed by a qualified therapist. However, as with any physical treatment, there is a small potential for risks such as temporary soreness or bruising. By booking and attending sessions, you acknowledge these possibilities and agree not to hold the therapist responsible for any negative outcomes, except in cases of proven gross negligence. Always inform your therapist of any health concerns beforehand.