CONSULTATION FORM

Consultation Form

First name

Last name

Email

Phone

Your Appointment Date

Day

Month

Year

Are you taking any medications?

No

Yes

Are you currently pregnant

No

Yes

Have you had any surgery?

No

Yes

I consent to Ruan Mai Thai Massage Therapy collecting and storing the personal and health information provided in this form.

This information will be used solely to ensure the safety and quality of your treatment. You may request to view, update, or delete your data at any time by contacting us at info@ruanmai.co.uk Privacy Policy

Disclaimer

By submitting this form, you confirm that the information provided is accurate to the best of your knowledge. Please inform your therapist if any of this information changes before or during your visit.

If you are unsatisfied with your treatment for any reason, please notify your therapist within the first 15 minutes of your session so that we can make adjustments for you. Regrettably, concerns raised after this point cannot be considered for a refund, as the full session will be considered accepted. For full details on how we handle your data, please read our Privacy Policy.