Spa Consent Form
Spa Consent Form
Please complete this form to consent to spa treatments and acknowledge risks, benefits, and safety precautions.
Name
Date of Birth
Phone number
Treatment(s) to be Performed
Please check all that apply.
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Swedish Massage
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Deep Tissue Massage
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Facial Treatment
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Hot Stone Massage
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Body Wrap
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Aromatherapy
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Do you have any of the following conditions?
Check all that apply.
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Pregnancy
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Allergies
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Skin Conditions
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Heart Conditions
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High Blood Pressure
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Consent
I hereby consent to the spa treatments selected above and confirm I have disclosed any relevant health conditions. I understand the risks involved and will inform the therapist of any discomfort during the treatment.
Name:
Date:
Thank you for submission!
We appreciate you taking the time to submit.
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