Massage Client Information and Consulation Form
What Pressure would you like
Place a check mark next to any of the following that apply
Please read the following and tick to confirm

I understand that the massage/bodywork I receive is provided for the basic purpose of relaxation and relief of muscular tension. There are certain conditions in which receiving a massage may not be appropriate. In those cases, a referral from a physician may be required prior to services being provided. Massage/bodywork is not a substitute for medical attention received by a medical specialist. If I experience any pain or discomfort during the session, I will immediately inform the therapist so that the pressure/strokes may be adjusted.

 

In addition, if I am uncomfortable for any reason, I may ask that the session be stopped immediately, and maybe ban from future bookings with us.

 

Any illicit or sexually suggestive remarks or advances made by me (the client) will result in the immediate termination of the session and ban from any future bookings with Traditional Thai Massage Newmarket.

Thanks for submitting!