Client Information ( See "New typeform" below, and press "Start")
Please make yourself comfortable in the waiting room and text Vicki of your arrival. There is no need to check in or fill out any forms at the office.
Please fill out the online form below. Your information is safely stored and is not shared. There is no need to print out the form.
Do not wear perfume,cologne, lotion or scented hair products during your session.
Wear or bring loose tank top and loose gym shorts. There is ample free parking.
**Note that there is a late cancellation/broken appointment fee of $50 if you do not give at least 24 hours notice, should you need to change my appointment.
When making your appointment, you are consenting to massage therapy session and authorize Vicki Mah to administer energy bodywork, massage therapy, or Release the Stress sessions to yourself, or to your dependent child, as Vicki deems necessary.
You also agree to keep Vicki Mah updated as to any changes in your medical profile and understand that there shall be no liability on her part should you fail to do so.
Understand that any illicit or sexually suggestive remarks or advances made by you, the Client, will result in immediate termination of the session, and Client will be liable for payment of the scheduled session.
By filling out the Client Form below, you agree that:
The massage bodywork you receive from Release the Pain is provided for the basic purpose of relaxation, relief of muscular tension, and the release of fascia.
Should you experience any pain, discomfort, or not pleased with anything during the session, you will immediately inform Vicki while it is occurring so it may be adjusted to your preference.
You understand that Release the Pain and Release the Stress sessions should not be construed as a substitute for medical examination, diagnosis, or treatment and that you should seek a physician for any mental or physical ailment that you are aware of.
You understand that massage or bodywork practitioners are not qualified to perform spinal or skeletal adjustments, diagnosis, prescribe drugs or treatment, or treat any physical or mental illness. and that nothing said in the course of the session given should be construed as such.
You have been provided with a description of services and anticipated benefits. You understand and agree to the purpose, nature, and duration of service, and consent to receive this service. Because massage therapy and bodywork should not be performed under certain medical conditions, you affirm that you have stated all of my known medical conditions and answered all questions honestly.