Live demo — a paper consent sheet turned into a form a client signs on a phone or tablet. Fictional practice; poke it freely.
Booking ahead instead? The full booking flow — which ends with this same signature — is at massage.andersonws.com.

Elm Street Massage & Bodywork
Licensed Massage & Bodywork Therapy · Demo

Massage Therapy Consent

By my signature here, I acknowledge that I have agreed to receive massage therapy from a licensed massage and bodywork therapist. Furthermore, I understand that:

  1. Massage therapy is not involved with the treatment of disease, illness or disorders of any kind, nor does it substitute for medical diagnosis or treatment when such is needed. The therapist does not diagnose or treat any illness, disease or other physical or mental disorder; and nothing said or done by the therapist should be construed as such.
  2. The massage therapy given here is for the purpose of stress management, reduction of muscular tension, developing body awareness and facilitating the body's metabolism.
  3. I will state all relevant medical conditions and will inform the therapist of any changes in my physical health before each massage session.
✅

Signed and saved

Reference ·

The client acknowledged the massage therapy consent above — that massage therapy does not diagnose or treat disease, that it is for stress management and reduction of muscular tension, and that they will state relevant medical conditions and report changes in their physical health before each session.

Printed name
Signature
Client signature
Date signed
Therapist
Event location
Session date

Built by Anderson Web Services — the same treatment as the quote form and the tap list: the paper your business already uses, made signable on any phone.