I understand that the massage therapy I receive is provided for the purpose of relaxation and relief of muscular tension. If I experience any pain or discomfort during the session, I will immediately inform the massage therapist so that the pressure and/or strokes may be adjusted to my level of comfort. I further understand that massage therapy is not a substitute for medical examination, diagnosis or treatment and that I should see a physician or qualified medical specialist for any physical or medical ailment of which I am aware. I understand massage therapy should not be performed under certain medical conditions, and I affirm that I have stated all my known medical conditions and have answered all questions accurately.
I understand that Cathay massothérapie & acupuncture ™ reserves the right to refuse to administer services at their sole discretion. I have read and fully understand this form in its entirety. If at any time there are changes in the information given, or in my condition, I will notify my therapist, and update this form before receiving additional massages.
My signature below affirms that I have read and agreed to the foregoing.