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Massage Therapy Intake Form


DISCLAIMER: The Rice University Recreation Center provides recreational programming and information for educational purposes. Please consult a healthcare professional before beginning this or any other fitness or recreation program to determine what is best suited for you and your needs. If at any point you begin to feel faint, dizzy, any physical pain, or shortness of breath, please stop participating immediately and if symptoms persist, call your health care provider or 911 in the case of an emergency.

Are you a returning Massage Therapy client?
Has anything changed medically in the last year?