I have read and fully understand this form in its entirety.If at any time there are changes in the information given or in mycondition, I will notify my therapist, and update this formbefore receiving additional massages.
The massage treatment given here is for the sole purpose of stressreduction, relief from muscle tension or spasm and to increasecirculation and energy flow.
The Massage Therapist does not diagnose or prescribe for medicalillness, disease, or any other physical or mental disorder. The Massage Therapist does not do spinal manipulations.Massage Therapy is not a substitute for medical examinations ordiagnosis, and it is recommended that a physician be seen for anyailment that you have.
I understand that any illicit or sexually suggestive remarks or advances madeby me will result in immediate termination of the sessions, and I will be liablefor payment of the scheduled appointment
It is the Guest’s (your) responsibility to explain and discuss all physicalconditions with the Massage Therapist so that they may do their job.