New Client Form

Please complete the form below before attending your first treatment. Once submitted, a copy will be emailed to our clinic and a second copy will be sent to you for your records via the email you enter in the form below. We follow a strict privacy policy and your details will remain confidential – for more info please see here.

Please Note: Fields with a “**” are mandatory.

  • Date Format: MM slash DD slash YYYY
  • Clinic communication

    Our booking system automatically sends you email and SMS reminders 24 hours before your appointment. If you tick the following, we will manually unsubscribe you from these reminder options:
  • Subscriptions

    We send email newsletters out to our clients every few months with updates, deals, and clinic events and news. Our newsletter management system will automatically send you an opt-in email when you first book with us. If you don't want to receive any email marketing communication from us, simply opt-out or take no action - however we hope you opt-in as we love getting client feedback and comments on our news and events.
  • All about your massage experience:

  • ** Have you ever experienced a massage before?
  • How often do you have a massage?
  • What type of touch do you prefer?
  • Previous and ongoing treatments

    If you are being treated by any other health professionals for these symptoms or related conditions, please provide their details:
  • Health Professional 1
  • Health Professional 2
  • Health Professional 3
  • Your general health and medical conditions:

  • Do you suffer from any of the following symptoms?
  • Your acknowledgement

    Please read and tick each item to signify your understanding and consent to our terms of treatment. Submitting a completed form indicates your agreement. If you do not understand or agree, please do not submit this form, please contact us and ask to speak to your therapist, or wait to check with them at your appointment date (if so, please arrive 15 minutes early to fill in a hard copy of this form).