Before your session

Health & consent

Takes about two minutes. It helps me tailor the session and treat you safely. Your answers go straight to me and nowhere else.

Your details

Full name Email (the one you booked with) Mobile Date of birth Emergency contact (name & number)

Health screen

Tick anything that applies. None of these necessarily rule out treatment, they just help me adapt it.

Heart condition or high blood pressure Diabetes Epilepsy Recent surgery or fracture (last 6 months) Blood clots / DVT or on blood thinners Skin conditions, open wounds or infections Cancer (current or in remission) Pregnancy Osteoporosis or arthritis Recent injury, sprain or strain

Current medication Anything else I should know? (injuries, allergies, areas to avoid)

What are you hoping to get from the session?

Main goal Training / activity (what and how often)

Consent

I confirm the information above is accurate and I consent to sports massage treatment. I understand I can stop the session at any time. I’m happy for Jess Grant to keep this form as part of my treatment record. Type your full name as a signature

Send to Jess