SinceDr Stretcher1997
← Back to the homepageYOUR FIRST VISIT

CLIENT INFORMATION · PRE-SESSION REVIEW

Health Waiver

Assisted stretching should feel comfortable, considered and personal. Please review the health questionnaire and consent information before your appointment.

Print or save this form before your visit. Your answers are not submitted or stored by this website.

Before we begin

Dr Stretcher provides assisted stretching and general mobility guidance. Sessions are not medical treatment, physiotherapy, diagnosis or rehabilitation.

Health and safety

Before a session, tell your practitioner about any relevant condition or change in your health, including an injury, pain, recent surgery, joint replacement, osteoporosis, pregnancy, dizziness, heart or blood-pressure condition, neurological or respiratory condition, or any advice to restrict exercise. Ask a qualified healthcare professional if you are unsure whether stretching is appropriate.

Your practitioner may modify, postpone or decline a session when there are safety concerns. Stretching should never be forced or continued through pain.

Risks and your choices

Assisted stretching can sometimes cause soreness, temporary discomfort or muscle and soft-tissue injury. Please communicate immediately if something feels uncomfortable or painful. You may pause or stop a stretch or session at any time.

Consent and data handling

Health information is sensitive personal data. This page does not transmit or store form entries. Please arrange a secure handover method for your completed form before your session.

Nothing in this form removes statutory rights or limits liability that cannot lawfully be excluded, including liability for death or personal injury resulting from negligence.

Privacy

Before supplying sensitive health information, please request our privacy notice explaining who handles it, why it is needed, how it is protected and how long it is retained. Consent to participate and consent to health-data processing are separate matters.

Pre-session questionnaire

Complete and print or save as PDF. No health information is sent to Dr Stretcher from this website.

Do any of these apply to you?

Tick all relevant items; leave blank if none apply, and describe anything important below.

Participation and consent

Keep this form for your records. Arrange a secure handover method directly with Dr Stretcher.