The following forms are designed to help us work together more easily:
If you are a first-time client, please print this form, complete it, and bring it along to our first session.
If you are a new client, please complete this form and bring it along to your first session.
This form will help you clarify your goals for your overall health and vitality, including our time together.
Payment Payment is due at time of service. I accept cash, local checks and all major credit cards. Confidentiality Everything discussed during the session and upcoming ones will be kept confidential except when subpoenaed by a court of law. Client details would not be revealed, unless the client has given written permission to do so. I will not confirm nor disclose the fact that a specific person is my client, unless I have permission and the written consent of the client to do so. Sexual Appropriateness Sexual behavior by the client toward the therapist or by the therapist toward the client is unethical, inappropriate and unacceptable. Sexual harassment is not tolerated. If the therapist's or client's safety feels compromised, the session is stopped immediately. What to Expect My number one concern is for your safety and to make you feel safe and comfortable during our session so it is extremely important that I have thorough knowledge of your health history because some conditions are contraindications for massage. You may dress however you wish, but if you would like to receive a massage following a workout, please shower before your massage. I will leave the room to allow you to undress and get onto the table. You should feel free to remove as much or as little of your clothing as you wish. I will be more effective if you are fully undressed, including your underwear, but your comfort level is most important. I work with my clients fully draped, meaning that only the part of your body where I am working at that particular moment will be exposed. Once you are undressed, on the table, and under the sheets and blanket, I will knock to make sure you are ready, come back into the room, and begin the session. I generally work with some sort of soft music playing, but I will gladly change the music or work in silence if you prefer. I will check in with you about pressure, temperature, and general comfort, but please remember that only you can feel what is going on inside your own body, and that you should feel free to tell me if anything is at all painful or uncomfortable. I do my best work when I am quiet and focused, so you can expect me to remain fairly silent during sessions except to check in with you. When your session is over, I will again leave the room to allow you to get dressed. Athletic & Therapeutic Massage Therapy LLC MA 84108 Miranda Mills LMT
General Liability Release Form
This is a standard release of liability for our massage therapy work together.
This form allows a parent or legal guardian to give permission to perform massage on a minor client.
If you'd like to set up massage for your company as a one-day treat or as a recurring benefit, this contract lays out the details of our agreement.
Note: To download Adobe Acrobat Reader for free, click here.