Welcome to the Sirius Health Thai massage clinic.
Please help us serve you by completing this Intake Form in advance.
Please take a moment to read and initial the following information:
I have informed the Thai Massage Therapist of all my known physical/medical conditions and medications. I will keep the Thai Massage Therapist updated on any changes to my health history.
The Thai Massage Therapist explained to me and I understand:
By signing this release, I hereby waive and release my therapist from any and all liability from problems arising from the treatment as a result of information not given or incorrectly given in this client history form.