Consent Forms

Please complete the following forms prior to your visit.

Intake Forms

Health History

Consent Forms

Sensitive Area Consent Forms


We have new policies and provincial health standards in place to help keep you and our team safe during the current COVID-19 crisis. Please read the following statements. 

In the last 14 days, have you (or anyone in your house) had ANY of the following symptoms?

- Fever
- New onset of cough
- Worsening of a chronic cough
- Difficulty Breathing 
- Chills
- Fatigue
- Headaches (unrelated to reason for massage therapy treatment)
- New onset of runny or congested nose
- Loss of sense of taste or smell
- Difficulty swallowing
- Digestive issues (nausea/vomiting/diarrhea/stomach pain)
- in children - sluggishness or lack of appetite
- Pink eye (conjunctivitis)
- Sudden onset of malaise/muscle fatigue/myalgia (unrelated to reason for massage therapy treatment)

In the last 14 days, can you answer yes to ANY of the following statements?

- Have you been out of the province?
- Have you been to any areas of high concentration of COVID-19 cases?
- Has your work exposed you to known COVID-19 patients?
- Have you knowingly been in contact with someone who is COVID-19 positive?
- Are you (or anyone in your home) currently waiting for COVID-19 test results?

If you can answer YES to ANY of the above statements, we reserve the right to rebook your appointment to a later date (if you are booking an in-person appointment like massage.) Thank you all for helping to keep our Wellness Centre a healthy place.