top of page

Health Declaration Form

HEALTH DECLARATION / CONSENT by Email 

Please MESSAGE BEFORE your BOOKING:

 

BY EMAILING YOU CONSENT AND AGREE:

YOU ARE HEALTHY, FIT AND WELL TO ATTEND YOUR BOOKING SESSION and that you take full responsibility during and after your session

Please outline any medications you are taking and why or if you are under a Doctors care

You agree that if in doubt you will get a second professional opinion before proceeding with any life style changes 

PLEASE SIGN YOUR NAME AND SEND USING THE FOLLOWING

Thanks for submitting!

bottom of page