Please complete and submit this form at least 24 hours before you first appointment. By doing so we can spend more time treating you during your initial appointment. The form will take approximately 10 minutes to complete. Once you have completed the form click submit at the bottom of the page and most importantly check the following page states submission has been successful. 

We would ask you to do the following before your appointment.  1. Make sure you complete and submit your screening form. 2. Wear appropriate clothing for the appointment- shorts, t-shirt, sports top/bra- depending on the areas  you wish to be treated.  3. IF WE ARE VISITING YOU Please provide 2 towels- 1 large and 1 small. If you are visiting our clinic we supply the towels.

Clients under the age of 18 must be accompanied by a parent or legal guardian during the entire session. Informed written consent must be provided by parent or legal guardian for any client under the age of 18.

Regarding GDPR please see our privacy statement 

COVID 19 SCREENING. PLEASE COMPLETE YOUR SCREENING FORM https://www.theflyingphysios.com/covid-19-patient-risk-assessment/

FAMILIARISE YOURSELF WITH OUR COVID CLINIC PROTOCOLS https://www.theflyingphysios.com/covid-19-in-clinic-protocols-may-2020/

    If you do, these will need to be removed before treatment takes place.
  • As the person named above, I understand that the massage I receive is provided for the basic purpose of relief of muscular tension and soft tissue discomfort related to work or training schedules. If I experience any pain or discomfort during this session, I will immediately inform the therapist so that the pressure and/or strokes may be adjusted to my level of comfort. I further understand that massage should not be construed as a substitute for medical examination, diagnosis, or treatment and that I should see a physician or other qualified medical specialist for any mental or physical ailment that I am aware of. I understand that massage therapists are not qualified to diagnose, prescribe, or treat any physical or mental illness, and that nothing said in the course of the session given should be construed as such. Because massage should not be performed under certain medical conditions, I affirm that I have stated all my known medical conditions, and answered all questions honestly. I agree to keep the therapist updated as to any changes in my medical profile and understand that there shall be no liability on the therapist’s part should I fail to do so.

Leave a Comment