Medical History: If you have experienced any of the symptoms that is marked with an asterisk (*), please email firstname.lastname@example.org before your appointment; this is to ensure your safety and well-being.
• Your scheduled session is set aside for you. Please be ready to start on time and please wear underwear
• 24 hour cancellation notice is required to avoid being charged for your session
• I understand that my therapeutic massage therapist or I may end the session at any time for any reason
• Inappropriate behavior will not be tolerated and may be prosecuted to the full extent of the law
I understand that the massage I receive is provided for the basic purpose of relaxation and relief of muscular tension and Connective Tissue Therapy may be included in the treatment.
If I experience any pain or discomfort during this session, I will immediately inform the therapist so that the pressure and/or strokes may be adjusted to my level of comfort.
I further understand that massage should not be construed as a substitute for medical examination, diagnosis, or treatment and that I should see a physician, chiropractor, or other qualified medical specialist for any mental or physical ailment that I am aware of.
I understand that massage therapists are not qualified to perform spinal or skeletal adjustments, diagnose, prescribe, or treat any physical or mental illness, and that nothing said during this or future sessions provided should be construed as such.
Because massage should not be performed under certain medical conditions I affirm that I have stated all my known medical conditions and answered all questions honestly.
I agree to keep the therapist updated as to any changes in my medical profile during this and future sessions and understand that there shall be no liability on the therapist’s part should I fail to do so.
By my electronic signature below, I agree to the massage policy and client agreement above.