Our Services Sports Massage Myofascial Release Craniosacral Therapy and Visceral Manipulation Deep Tissue Bodywork for Children Craniosacral Therapy for Cancer Care
Move freely, breathe easily, live abundantly

Client Forms

Please fill out the two forms below before your scheduled appointment, if you haven’t already done so.

New Client Intake Form

If this is your first time here or if it has been more than a year since your initial visit, please fill out the following form.

General Liability Release Form

All clients of Beltline Massage must read and agree to the following:

  1. I understand that therapeutic massage is not a substitute for traditional medical treatment or medications.

  2. I understand that the massage therapist does not diagnose illnesses or injuries, or prescribe medications.

  3. I understand the risks associated with massage therapy may include, but are not limited to:
    • Superficial bruising
    • Short-term muscle soreness
    • Exacerbation of undiscovered injury
    • Occasionally an emotional response can occur during or after treatment

  4. I understand the importance of informing my massage therapist of all medical conditions and medications I am taking, and to let the massage therapist know about any changes to these.

  5. I understand that there may be additional risks based on my physical condition and I therefore release the company and the individual therapist from all liability concerning these conditions.

  6. I understand that it is my responsibility to inform my massage therapist of any discomfort I may feel during the treatment so he/she may adjust accordingly.

  7. I understand that I or my therapist may terminate the session at any time.