Intake & Treatment Form
Welcome to Your Journey Towards Pain Relief and Wellness
Thank you for choosing My Healing for your medical massage therapy needs. To provide you with the most effective and personalised treatment, we kindly ask that you fill out this application form. Your detailed responses will help us better understand your medical history, current condition, and specific needs.
All information provided is strictly confidential and will only be used to tailor your treatment plan and ensure your safety and well-being. If you have any questions or need assistance while completing this form, please don’t hesitate to ask.
We look forward to working with you towards a healthier, pain-free life.
Completion of this Application Form Required
To ensure the highest standard of care and safety, it is compulsory for all clients to complete the Application Form prior to receiving any massage treatment. This form enables us to fully understand your medical history and tailor the treatment to your specific needs. Without this completed form, we regret that we will not be able to proceed with the scheduled massage therapy session. Your well-being is our top priority, and the information you provide allows us to offer a safe and effective treatment experience.