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Client Information Sheet

First Name*

Last name*

Your email*

Contact Number*

Any medical condition we should be mindful for?*

Are you going through any of the following?

Menstruation

Pregnancy

High/Low Blood Pressure

The information provided in this form is accurate to the best of my knowledge and agree to notify the Massage Therapist of any updates. I understand the contraindications associated with the requested treatments and confirm that I have no conditions that would render the service unsuitable. I will immediately inform the Massage Therapist of any discomfort during the session to enable necessary adjustments. I waive all liability against the Massage Therapist and their employer for any injury or damages arising from any inaccuracies or omissions in my health history.*

I confirm

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Address

3F, 70 Holy Spirit Drive, Brgy. Holy Spirit
Quezon City, Philippines 1127

Contacts

+63 967 048 3714
info@cedarspa.com.ph