In The Bag Massage

New Client

DO NOT FILL OUT THIS FORM IF YOU DO NOT HAVE AN APPOINTMENT WITH IN THE BAG MASSAGE. WITHOUT AN APPOINTMENT, THIS FORM WILL BE DISREGARDED. PLEASE CALL 614 222 5782 TO MAKE YOUR FIRST APPOINTMENT.
For all clients receiving any service provided from In The Bag Massage, it is important for you to know that:

We are NOT doctors.
We DO NOT practice medicine.
We DO NOT diagnose or treat for a specific illness or disorder.
We DO NOT prescribe or adjust medication.

By signing this form, I give my consent to a session by a practitioner at In The Bag Massage. This consent extends to all sessions received on this or future days. I understand that I may discontinue sessions at any time. If I have been diagnosed by a licensed health professional as having any disease, injury, or other physical or mental conditions, I understand that I should inform the person who made the diagnosis about the treatment I will be receiving and whether I intend to discontinue any treatment or therapy which has been previously ordered, prescribed, or recommended by a licensed health professional. I understand that by discontinuing any such treatment or therapy, I assume responsibility for any negative outcome resulting from discontinuing that treatment or therapy.

Massage sessions are not a substitute for medical care. If you are experiencing any specific medical problem and have not seen your medical doctor, we recommend you do so.

DO NOT FILL OUT THIS FORM IF YOU DO NOT HAVE AN APPOINTMENT WITH IN THE BAG MASSAGE. WITHOUT AN APPOINTMENT, THIS FORM WILL BE DISREGARDED. PLEASE CALL 614 222 5782 TO MAKE YOUR FIRST APPOINTMENT.