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Intake Forms

Review the exact intake questions and waivers clients see, or print and email blank copies.

What are your goals for this session?

Select all that apply

Relaxation & Stress ReliefPain ReliefMuscle RecoveryInjury RehabPregnancy SupportLymphatic SupportEnergy & ClarityEmotional Release

Preferred pressure

LightMediumFirmDeepMix it up

Areas to focus on

Select all that apply

Neck & ShouldersUpper BackLower BackHips & GlutesLegs & FeetArms & HandsFull BodyHead & Scalp

Areas to avoid

Select all that apply

NeckLower BackFeetAbdomenLegsNone

Do you have any of the following?

Current medications or supplements (optional)

List any medications, supplements, or topical products relevant to your session...

Anything else I should know?

Previous injuries, emotional context, preferences, or anything you want me to know before we begin...

Liability Waivers

The exact waiver text clients read and sign before their session.

MASSAGE THERAPY INFORMED CONSENT & LIABILITY WAIVER

I, the undersigned, voluntarily request and consent to receive massage therapy services from Higher Ground of Healing.

I understand that:

  • Massage therapy is not a substitute for medical diagnosis or treatment.
  • I am responsible for informing the therapist of all health conditions, injuries, medications, and contraindications prior to and during sessions.
  • Massage therapy may cause temporary muscle soreness, bruising, or discomfort.
  • I have the right to stop the session at any time and communicate my needs.
  • All information I provide is confidential and used solely to customize my care.

Assumption of Risk & Release: I acknowledge that massage therapy involves physical touch and carries inherent risks. I voluntarily assume those risks and release Higher Ground of Healing from any liability for injury, illness, or damages arising from my session, except in cases of proven negligence.

Cancellation Policy: I understand a $30 deposit is required at booking. This deposit is fully refundable if I cancel at least 24 hours before my appointment. Cancellations within 24 hours forfeit the deposit.

Media & Privacy: I do not consent to photography or recording without explicit written permission.

By signing below, I confirm I have read, understood, and agree to the terms of this waiver.

Agreement Checkboxes

Signature Pad

Clients sign here using mouse or finger on the booking confirmation page.