Consent for Therapy and Waiver of Liability
The undersigned ("Client") hereby freely consents to receipt of service(s) from:
Spajuvenate Client agrees as follows:
Client understands and agrees that they will provide the Therapist with complete and accurate health information, and a written referral from Client's primary healthcare provider if Client is currently receiving care or has a specific medical condition or symptoms for which Client takes medication or received periodic evaluations or treatment. Client understands that massage therapy is designed to be an ancillary health aid and is not suitable for primary medical treatment for any condition.
1. Client and Therapist have discussed the potential benefits and possible side effects of massage therapy and have agreed upon a course of focused attention and manually therapy for the predetermined goals of stress reduction, relief of muscular discomfort, and/or promotion of general health. Client has been given an opportunity to ask questions of the Therapist and has received all requested information.
2. Client understands that the unclothed body will be draped at all times for warmth, sense of security, and as a mark of massage therapy professionalism. Client agrees to immediately inform the Therapist of any unusual sensation or discomfort so that the application of pressure may be adjusted to Client's level of comfort. Client understands that massage therapy is not sexual in any manner and that any illicit or suggestive remarks or behavior on the client's part, will result in an immediate termination of the therapy session. Client understands that payment will be expected in full; regardless if the massage is completed or not. Clients under the age of 18 must have a parent or legal guardian present to provide a signature for authorization for the therapeutic massage session and must be with the same gender massage therapist.
3. Client hereby assumes full responsibility for receipt of the massage therapy, and releases and discharges Therapist from any and all claims, liabilities, damages, actions, or causes of action arising from the therapy received here under, including, without limitation, any damages arising from acts of active or passive negligence on the part of the Therapist , to the fullest extent allowed by law.
4. Client, in signing this consent for Therapy and Waiver of Liability ("Consent"), understands and agrees that this Consent will apply to and govern the currently and all future therapy sessions performed by Therapist.
5.If you fail to cancel or modify your appointment prior to 72 hours before your onsite massage appointment, but you give more than 24 hours notice, a 50% fee will be charged to your credit card. Full refunds will not be given. Group or couple appointments, massage sessions require 48-hour advance notice. This allows the opportunity for someone else to avail themselves of our services.If late arrival is inevitable, your service(s) will be shortened in order to keep on schedule. No full or partial refunds will be given.