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Please tick if applicable

Multi choice
Multi choice

Please highlight areas of discomfort or concern

Multi choice
Multi choice

How much pressure do you prefer ?

By signing this document, I acknowledge that I am aware of the benefits and risks of Stretch and Massage Therapy and that I have completed this form to the best of my knowledge. I also agree to inform my Therapist of any health or medical changes. I herby waive and release business, its owners and staff from any and all liability, past, present, and future relating to the service provided.

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