Massage Consent Form

Informed Consent to Massage Therapy

At Active Life Wellness we thrive to provide best service and care to our clients. Please let us know where you feel we can improve or upgrade to make our service and care better for you. Massage Therapy at our clinic is provided by Registered Massage Therapists who are members of the College of Massage Therapists of Ontario (CMTO) and will do their best to see that you receive treatment best suited to your condition.

We make every effort to be on time for you and we request you to extend same courtesy. If you cannot keep your appointment please notify us immediately. Missed appointments and late cancellations (less than 24 hours in advance except in emergencies) are subject to full cost of the treatment. If you arrive late for your appointment, you will receive treatment for the length of time remaining in your scheduled appointment.

All clients are required to complete a Patient Case History Form. The information requested will assist the Massage Therapist in treating you safely and effectively. Feel free to ask any questions about the information being requested. Please be advised that all information being provided will be kept confidential unless allowed, or required, by law. Your written permission will be required to release any personal information.

The initial visit may include, but is not limited to, the following: completion of Case History form and any necessary paperwork, blood pressure reading and assessments including special orthopedic tests and remedial exercises. The time allotted for your appointment includes time for interview, assessment.

Certain parts of our body that are deemed as sensitive by nature which include chest musculature, breast, buttocks and upper inner thigh. Massage Therapist will need written consent from you before assessing or treating these body parts.

If Massage Therapist find any precautions, contraindication to your massage treatment or anything outside his scope of practice you will be referred to appropriate health care provider. you have right to stop or modify treatment at any time. Please let us know if you need any type of assistance before, during or after the treatment.

I understand and is informed that as in all health care, in the practice of Massage Therapy there are some risks and side effects are involved including but not limited to dizziness, muscle soreness, bruising and fainting. Therapist will advise if there are any particular side effects that relates to specific treatment of my condition.

I have stated all my known medical conditions and have taken it upon myself to keep the Massage Therapist updated on my physical health, allergies specifically related to any lotion, oil, heat or cold for hydrotherapy used in massage.

My signature below indicates full understanding and agreement to the above release and stated conditions of receiving treatment at Active Wellness Clinic.

Printed Name

Date

Signature

What Our Patients Say

On my first visit, I met Dr. Sodhi. I have been to another chiropractor/physio clinic in the past but so far none can be compared to this. I am saying this because the way Dr. Sodhi listened to my problem and chalked out a therapy plan to fix the issues was exceptionally commendable. He was not like others who jumped right into giving you chiro sessions. Indeed, he follows a proper strategy, diagnose you very well and has a plan to solve your chiropractic needs. I am looking forward for my sessions as planned. Thank you Dr. Sodhi.

-B.A.

Dr. Mistry is the best Chiropractor I've ever been treated by. I came with a very painful lower back issue, and he gave me intelligent treatment that was more like physiotherapy that involved chiropractic care. I have a very physical job, and with his help I was able to continue there without taking time off.

-N.T.

I highly recommend Active life wellness center. Dr. Sodhi is a great chiropractor. He is very knowledgeable, professional and actually pays attention to what you tell him. Every staff member is great, helpful and an expert. They have great knowledge and experience in their profession. Strongly recommend friends and family.

-K.L.

Dr. Umesh Mistry is a blessing. I have been in for a couple of treatments now and I am feeling so much better than what I used to feel before.He is very caring and is genuinely concerned about his clients. Will definitely recommend this place to anyone. God bless...

-B.

I highly recommend Active Life Wellness Center!! The staff there are very professional, kind and truly talented in their practice. Dr. Sodhi and the rest of my team have and continue to help me greatly with each treatment. I always look forward to seeing them

-J.C.

Dr Sodhi was very patient and asked appropriate questions that enabled me to reveal other, but nevertheless, relevant health concerns. Very friendly staff and clean facility. I would highly recommend this practice for anyone who wants to get on the path of better health and well being.

-S.S.

More Reviews

SEE WHAT WE CAN DO FOR YOU

Schedule Your First Visit

On your first appointment with Brampton Chiropractor Dr. Sodhi, you'll sit down to discuss what's brought you in to our office. Dr. Sodhi will complete a full health history and assessment with you. Then, if needed, we'll send you for X-rays. Please contact us today for your appointment.

SCHEDULE NOW