Man to Man Massage UK - Health Declaration

IMPORTANT INFORMATION 


You will only have to fill out this form once, but is your responsibility as ‘The Client’ to inform your Masseur if any of your medical conditions change over time, so once this form has been filled in and submitted, the masseur will not be responsible for any medical condition that occurs or arises through any of our massage treatments that you receive.  
 
Massage increases circulation of lymph, blood, and oxygen, and research shows that it reduces stress, tension, and pain. Massage can aid in relaxation, increased energy, and better sleep. 
 
However, any massage may affect a pre-existing condition, and some conditions may be contraindicated for certain types of body work. Therefore, this form must be completed prior to receiving massage. All information will be kept confidential.

Personal Information

Medical Information

IMPORTANT COVID-19 MEDICAL QUESTIONS

COVID-19 (If you currently have ANY of these symptoms, we 'WILL NOT!' be able to accept your massage booking!

Tick the Relevant Medical Conditions You Have (if any)

Skin Conditions (tick any current conditions).
Respiratory System
Reproductive System
Other
Musculo-Skeletal System
Digestive / Urinary System
Circulatory/Lymph/Endocrine System
Nervous System
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