appointment consultation form
By submitting this form I confirm that the information provided is true and I have not withheld any information concerning my health. I will keep you updated on my health should there be any changes to the answers given. I undersstand there is a possibility I may experience some minor reactions as my body adjusts to the treatment.
I understand that this treatment is not a substitute for medical examination, diagnosis or treatment and the therapist does not diagnose illness, disease or other condition. While I recognise that all due care will be taken by the therapist, I am aware that my participation in the treatment is voluntary and I give my consent to having the massage therapy treatment. I confirm that my records can be retained in line with legal requirements (see privacy information below). I consent to my details beign shared with the NHS Test and Trace service should they be required.
For pregnant clients: I understand that at this time I am considered to be in the Government's Covid-19 'clinically vulnerable' category and therefore at greater potential risk. I understand that there may be an additional risk to me by having a close-contact therapy and consent to having the treatment on this understanding.
