Free templateMassage
Massage consent form
A complete, professional massage consent and medical history form. Free to download and print - or switch it on inside Lumela and it is created for you, live, in about a minute.
Already built for you
Don't start from a blank form
You do not have to recreate any of this. Choose massage when you sign up and this exact form appears in your account, ready to send.
What to check before you treat
These are the answers that change whether the appointment goes ahead. The digital version turns the submission red automatically.
- CheckHave you had surgery or an injury in the last 3 months?
- CheckDo you have high or low blood pressure?
- CheckDo you take blood thinners, or aspirin daily?
- CheckAre you pregnant or breastfeeding?
- CheckDo you have diabetes?
- CheckDo you have eczema, psoriasis, rosacea or active breakouts on this area?
- CheckDo you have a heart condition, or a pacemaker?
- CheckDo you have a condition, or take medication, that affects healing or immunity?
What the form covers
Template wording is a professional starting point, not legal advice. Have your attorney review it for your state.
Paper works. Until it does not.
A printed form has to be filled in at the appointment, filed somewhere, and found again years later. It cannot flag a contraindication, cannot prove when it was signed, and cannot email the aftercare. The same form, sent as a link, does all three.
Get the massage form, free
A complete, printable template written for this treatment. No card, no trial, just the form.
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