A Kneaded Escape Massage Therapy

Retreat, Relax, Rejuvenate, Restore, Refresh, Rejoice

Physician's Permission form


If you are currently under care with a physician for a serious health condition, please print out form below and consult with them about getting massages.  If they give their approval, have them fill out the form and bring it to your massage appointment.  Thank you for your cooperation.  Your health and safety is my main concern.

Physician's Permission form

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