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Consultation Forms

The consultation form is filled in with the client before the treatment but it is possible to download it in advance, complete it at home and bring it to the practice where it will be discussed with the therapist. Treatment cannot be given without a completed consultation form for the reasons stated below.

I do believe that complementary therapies are beneficial to most people, even to clients suffering complicated illnesses such as cancer. But I do need to know the client’s health in detail, as there might be some hidden risks, which the client might not be aware of. For example high blood pressure might be affected by the treatment, especially hot ones such as Hot Stones Therapy or Thai Hot Herbal Compress Massage. During the treatment the blood pressure might increase even more and in the worse cases provoke fainting or other complications. Being aware of a client’s condition I could prevent this happening by adjusting the treatment. I am not offering any sexual services. I am happy to treat clients suffering AIDS or sexually transmitted diseases, but in some cases I would ask the client to cover any cuts to protect myself from any contact with body fluids.

The consultation form is designed in detail for the client’s safety and also to prompt the client to remember perhaps even insignificant health conditions, which still might be important during the treatment. If you are not sure about the meaning of some disease name you could search it here or ask me prior to the treatment.

It is advisable for a client who is not sure about the effect of the treatment on his/her health to consult his/her GP. There is a section “ Contraindications requiring medical permission” in the consultation form, indicating conditions requiring medical permission. From my previous experience some GPs leave the patient to decide whether to have a complementary therapy treatment. In most causes I am happy to proceed with the treatment after the client has signed the disclaimer form.

Please do not make an appointment if you are aware of any contagious and infectious diseases (including fever, diarrhoea or vomiting) you suffer as it could spread to other clients coming to the practice. I reserve the right to refuse any treatment to the client suffering illnesses I might believe are harmful to others or is under the influence of recreational drugs or alcohol.


Please ignore the address on consultation form. If there is 116 Midstocket Road. The practice is in Bieldside. Thank you.

  • Advanced Clinical Massage

  • Pregnancy Massage

  • Postnatal Massage

  • Maternity Reflexology

  • Reflexology

  • Fertility Reflexology

  • Oncology Massage

  • Holistic Massage

  • All Other Treatments

  • Disclaimer Form



Ready to find out more?

I wish you good health and will be looking forward to welcoming you personally at my practice. Please do not hesitate to contact me if you have any questions.

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