Please complete this form in as much detail as possible

Once the completed form has been returned, I will contact you for a telephone consultation and to finalise your appointment arrangements.

No Form, No Treatment (this is for both of our well being and for our Insurance purposes)

Thank you, 

Simply Hands On Massage 

I hereby agree that this data will be stored and processed for the purpose of establishing contact. I am aware that I can revoke my consent at any time.*

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Health and Safety Consultation Form completed with all Clients prior to any treatment.

Simply Hands On have the right to refuse or cancel any treatment for non-disclosed health issues.