Client Consultation & Consent — FLOW Wellness Sanctuary

Help us keep your session safe and tailored to you. This form is confidential and reviewed before your first appointment at the FLOW sanctuary.

Personal details

Full name*

Email*

Phone*

Date of birth*

Emergency contact

Contact name*

Contact phone*

GP / surgery (optional)

Your session

Reason for visit / areas of concern

Injuries, pain, or areas to avoid

Health & medical history

Please tick any conditions that apply. Select “None of the above” if not applicable.

Allergies or sensitivities

Current medications

Skin conditions or sensitivities

Pregnancy

Not pregnantPregnantUnsure / prefer not to say

Consent

I confirm that the information provided is accurate and complete to the best of my knowledge.

I understand that massage and bodywork at FLOW is not a medical diagnosis, treatment or cure, and is not a substitute for professional medical advice, diagnosis or care from a GP or other qualified practitioner.

I understand that after a massage it is normal to experience temporary soreness, bruising, fatigue or light-headedness, and that these effects are not grounds for a refund or claim. I agree to follow aftercare advice and to seek medical advice if I have any concerns.

I consent to massage and bodywork treatment at FLOW Wellness Sanctuary, and I understand that treatment may be adapted or stopped for my safety. I may ask for the session to end at any time.

I have read and agree to the privacy notice. My data will be stored securely and only used to provide my care.

Digital signature (type your full name)*

This form is reviewed before your first appointment.

Consultation & consent

Personal details

Emergency contact

Your session

Health & medical history

Consent