Thank you for becoming a client of TMC Medical Massage & Movement. Please fill out the following form:

Please read and sign below:

I understand that Licensed Massage Therapists and Reflexology Practitioners do not diagnose diseases or mental disorders and do not prescribe medical treatments or drugs. I acknowledge that massage is not a substitute for medical care and that it is recommended that I see my doctor for diagnosis and medical care. I absolve my massage therapist and TMC Medical Massage & Movement from any and all claims or actions based upon or arising out of damage or injury. I also acknowledge that I have disclosed to my massage therapist any and all medical conditions that I am aware of and will update them of any changes in my health.

I understand that a 24 hour notice is required to cancel an appointment or I may be charged for the session.

Tipping is acceptable but not expected.

All massage therapists employed or contracted by TMC Medical Massage & Movement are licensed by the Ohio State Medical Board.

Type your full name and check the following box. This will serve as your e-signature: