Sports and Remedial Massage Therapist

07806 871895


This form must be completed before each treatment session.   COVID-19 can be asymptomatic and still be contagious.

Although there is no way to completely protect ourselves from this virus, I am taking all precautions and disinfecting my treatment room between sessions and using personal protective equipment (PPE) as required.

I will ask you to wash/sanitise your hands as soon as you enter the treatment room and afterwards.

I may ask you to wear a face covering during your treatment.

Please complete the form so we can do our best to protect each other.

Thank you for your understanding – Vicky

 If you prefer, you can download the pdf here and bring the completed form with you.