Headaches/Migraines

Diabetes

High/Low Blood Pressure

I have read the above information and give my consent to have massage treatments. I will alert the staff if there are any future changes to my medical history.

I have consulted my doctor regarding any medical history relevant to undergoing massage treatments, and obtained their approval prior to receiving treatment today.

The information provided has been explained to me and all my questions have been answered to my satisfaction. I have read the above information and give my consent to have massage treatments by the staff at The Frangipani

I agree to be contacted by email and/or text from time to time regarding promotions, offers and events. I understand that I may opt out from these communications at any time.

I agree to use electronic records and signatures.