Health History Form

Therapeutic bodywork in a context of Traditional Thai Massage


ThaiMassage-NYC Health History Form

penYou may download the Health History .pdf here.

After printing, take a few minutes to fill in the form.

This simple task will save us time during your first booking which will ultimately provide more benefit to you. If you do not have access to a printer I will have the form waiting for you when you arrive.

Please arrive a 10 min. prior to your appointment in order to complete the form, i appreciate it.


In order for you to be prepared for your session, here are a few important details.

  • Remember to bring loose fitting or flexible clothing such as sweatpants and a T-shirt to wear during your session.
  • For office visits, please arrive early for your session, as late comers will be able to experience the balance of their time-slot only.
  • Do not eat a heavy meal immediately before your massage.
  • Download the intake form. After printing, take a few minutes to fill it out prior to your session. This will allow me to begin the bodywork sooner, providing more benefit to you.
  • Please review my cancellation policy.

Cancellation Policy

Cancel or reschedule a session one or more business days prior to the appointment at no charge.

If cancellation occurs less than 24 hours prior to the appointment time a cancellation fee equal to 100% of the session price will be charged.


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Do your body a favor.
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