Fit'n'Well Massage

Thank you for making a booking with Fit n Well !!!


If this is your FIRST appointment with Fit n Well please complete this form below.

Doing this before your appointment will leave more time for the treatment itself.

If you have had a previous appointment with Fit n Well, you do NOT need to complete this page again.

Looking forward to seeing you at your appointment time…

Please note: from 1/7/17 the cost of a one hour treatment will be $80

Gaz Circular Profile Pic tiny
Keep Fit and Well…Gary

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For remedial massage appointments:
For lymphatic drainage appointments please skip this section (see below)

For manual lymphatic drainage appointments:

General

Occupation

Conditions
Consent to provide treatment
Female thoracic spine 1 webAMT_logo_BLACK
Please Note:
You are booking in for a treatment where removal of some clothing will be required to effectively access the area of your body being treated. I am a professional massage therapist & I adhere to strict body draping procedures. During the treatment, your privacy will be respected at all times by covering your body with draping towels, only the body part being treated will be un-draped. I am a member of the Association of Massage Therapists (Member Number 1-10757), and abide by their Code of Ethics.

Persons under 18 years of age are requested to wear sporting attire to the massage appointment.
I hereby give my consent for Gary Bolton to carry out the treatment as detailed above and discussed with my therapist (Gary Bolton) before the consultation.
Thank you...