Massage – Treatment Information and Consultation Form

Thank you for booking your massage. This web page contains information to help you prepare for your treatment, and a consultation form for you to complete before you arrive.

The form is completely confidential and arrives in my email inbox.

Lucy x

How To Prepare and What to Expect

Massage is a ‘close contact service’ and I am following guidance from the government and my professional body the Federation of Holistic Therapists.

This guidance is regularly changing so updates will be made to this form when necessary!

  • Arriving for your appointment: please follow the gravel garden path all the way to the studio entrance. I will look out of the window and wave you in but I won’t meet you at the door. You may let yourself in. Straight ahead there is a toilet and shower room dedicated for your use and coat pegs just outside. Please store coats and bags here, wash your hands and join me in the studio when you are ready.
  • Consultation/Settling: your appointment will begin with a discussion and consultation. If you wish, you can enjoy a warm foot bath while we catch up and make a plan for your treatment. During this time, and also at the end of your treatment, we will maintain a physical of 2m as per government advice. The duration of the actual treatment (the time we are in ‘close contact’) will not exceed one hour in line with current guidance.
  • Face Coverings: (Updated 4 May 2021) Government advice on when to wear a face covering still requires you wear a face covering as you enter, leave and move around the building, and also during your massage unless you are exempt. I will be wearing a visor and a type II mask.
  • Hygiene: prior to your arrival I will have disinfected the front door handle and bell and thoroughly cleaned the bathroom. I am limiting the number of people I see to allow for plenty of time to air the room. All sheets, towels and blankets are washed between clients.
  • Aftercare: it is recommended that you bring your own water bottle to drink from after your treatment. We will continue to observe a physical distance of 2m until you are ready to leave.

Cancelling and Rearranging

Advance payment is required to confirm your session.

You can cancel your appointment and receive a full refund up to 48 hours in advance. This does not apply to package bookings. However, package treatments can be rearranged or postponed (within the validity of the package).

If you would like to rearrange your appointment, please give as much notice as possible so that I can fill your slot. The latest you may rearrange your appointment is by 9am on the morning of your appointment. This means that if you, or anyone in your household, wakes up with virus symptoms you can postpone with no charge.

If you cancel after 9am, or fail to attend your appointment, you will be charged the full amount.

Consultation Form

There are three sections to this form:

  • Section 1 is specific to corona virus and how you are right now.
  • Section 2 is your contact details
  • Section 3 is to do with your general health

You will need to complete section 1 before every treatment.

You only need to complete sections 2 and 3 before your first treatment, or if anything changes.


I hold personal information in accordance with GDPR regulations and for insurance purposes. Data will be kept securely and destroyed when no longer required

Section 1 – Corona Virus / Aims for this Treatment

The main symptoms of coronavirus (COVID-19) are:

  • a high temperature – this means you feel hot to touch on your chest or back (you do not need to measure your temperature)
  • a new, continuous cough – this means coughing a lot for more than an hour, or 3 or more coughing episodes in 24 hours (if you usually have a cough, it may be worse than usual)
  • a loss or change to your sense of smell or taste – this means you’ve noticed you cannot smell or taste anything, or things smell or taste different to normal

Please defer your treatment if you or any member of your household/support bubble has any of these symptoms. Stay at home (self-isolate) and get a test.

Thank you for completing section 1.

There is no need to complete sections 2 and 3 unless it is your first appointment.

Scroll to the end of the page to submit the form.

Section 2 – Your Personal Details

Section 3 – Your Health and Wellbeing