Client Information
Please make yourself comfortable in the front waiting room near the door and text Vicki of your arrival. There is no need to check in, sign anything, 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 $80 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. |
Thank you for filling out the online typeform below.
I look forward to helping release your pain !
Client Information Form
Release the Pain does not diagnose, treat, treatment plan, nor give medical advice. The information included on this site and at RTP is for educational purposes only. It is not intended nor implied to be a substitute for medical advice and professional care. The reader and client should always consult his or her healthcare provider to determine the appropriateness of the information for their own situation or if they have any questions regarding a medical condition or treatment plan. Reading this website does not create a physician-patient relationship.
Disclaimer
The contents of this site, such as text, graphics, images, and other material is for informational purposes only.
The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice
of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never
disregard professional medical advice or delay in seeking it because of something you have read on this site. If you think you
may have a medical emergency, call your doctor or 911 immediately. Release the Pain does not recommend or endorse any
specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on this website.
Privacy Policy
Release the Pain respects our customer's privacy. We will never sell, lease, or rent your email address to another
party without your permission. We gather your email address only when you offer it to us, and use it only when we need to contact
you regarding an inquiry,an order, or current specials. As a customer, you may receive a printed catalog or an e-newsletter from
time to time. If you would like to be removed from our mailing lists, email us and we will be happy to remove your email address
from our mailing list.
The contents of this site, such as text, graphics, images, and other material is for informational purposes only.
The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice
of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never
disregard professional medical advice or delay in seeking it because of something you have read on this site. If you think you
may have a medical emergency, call your doctor or 911 immediately. Release the Pain does not recommend or endorse any
specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on this website.
Privacy Policy
Release the Pain respects our customer's privacy. We will never sell, lease, or rent your email address to another
party without your permission. We gather your email address only when you offer it to us, and use it only when we need to contact
you regarding an inquiry,an order, or current specials. As a customer, you may receive a printed catalog or an e-newsletter from
time to time. If you would like to be removed from our mailing lists, email us and we will be happy to remove your email address
from our mailing list.
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