Health Questionnaire: Therapeutic Massage Treatment

I agree to receive a therapeutic, non-sexual massage for the purpose of promoting good health. I understand that massage therapists do not diagnose physical or mental conditions, perform spinal manipulations, or prescribe medical treatment. I have stated all of my known health conditions and agree to update the massage therapist and/or aesthetician on any further changes in my health. For your safety and well-being, it is important that you inform us of any changes in medication usages during the course of your treatment.