Pregnancy Massage Client's Intake From
Consent for Pregnancy Massage with Therapeutic and Relaxation Massage Clinic
I have read this entire form including the contraindications listed above. I attest that I have none of the above conditions, nor do I have any medical problems whatsoever. I am in general good health. I am aware that I am being massaged by. I agree to hold my massage therapist and Massage Therapy Connections harmless in the event of any medical/health problem being experienced by me during or after the massage. I have read and I understand what has been stated above. I have answered all questions and have supplied personal information honestly and accurately. I realize that if I have been dishonest I could be endangering my or my unborn child’s health.