1-780-604-7300 Unit 207, 1762 34 Avenue Northwest, Edmonton, Alberta, T6T 1B1 Mon - Sat 10.00 AM - 08.00 PM; Sunday 10.00 AM - 05.00 PM
Indicate pain and/or stiffness by selecting appropriate option - Indicate numbness and/or tingling with an 'N' or 'I'
I have read and completed this form and stated all medical conditions that apply to me to the best of my knowledge. I will notify the Massage Therapist of any changes in my health status to ensure my safety for receiving massage.
I understand that Massage Therapist do not diagnose illness, disease, or any physical / or mental disorder; nor do they prescribe medical treatment, pharmaceuticals, or perform chiropractic adjustments. I acknowledge that massage is not substituted for medical examination or diagnosis and that it is recommended I see a Medical Doctor for that service.
If I experience pain or discomfort during the session, I will immediately inform my therapist so that pressure/strokes can be adjusted to my level of comfort. I will not hold my therapist responsible for any pain or discomfort I experience during or after the session.
I understand that massage is entirely therapeutic and non-sexual in nature.I understand I must give 36 hours notice for cancellation of appointment that I will be charged the service fee if cancelled on that same day.