Health History Form

This Must Be Completed First In Order To Book A Session

This Only Needs To Be Filled Out Once Unless Circumstances Change. Remedia Therapy Does This Online To Be Environmentally Friendly & To Save You Time On The Day.


Terms & Conditions
I do not expect the therapist to foresee any current or previous medical conditions not listed above. Massage may reduce muscle tension, stress, increase general well being and flexibility but results are not guaranteed. Massage may bring side effects such as muscle soreness, mild bruising, increased awareness of painful areas, light headed, or other possible temporary side effects. The therapist does not diagnose illnesses, injuries, prescribe medications or perform articular manipulations such as spinal adjustments. I agree to wear suitable underwear.