Massage intake & consent

Pressure preferences, focus areas, and signed consent for therapeutic massage.

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In the Claude connectors directory

Before your massage

Full name*

First Name

Last Name

Phone number*

Email address

Is this your first professional massage?

Yes No

Preferred pressure

Light Medium Firm Deep tissue

Areas you'd like to focus on

Neck & shoulders Back Legs Feet Full body

Areas you'd prefer we avoid

Do any of these apply to you?

Pregnancy High blood pressure Surgery in the past 6 months Skin allergies or conditions Significant varicose veins None

I understand the massage I'll receive is for wellness purposes and doesn't replace medical care. I've disclosed my health conditions and may ask to adjust the pressure or stop the session at any time. The therapist will use professional draping at all times.

Consent*

I have read and agree to the above.

Signature*

Sign here