• General Liability Release Form

  • By signing below, you agree to the following:

    1) I give my permission to receive massage therapy. 

    2) I understand that therapeutic massage is not a substitute for traditional medical treatment or medications.  

    3) I understand that the massage therapist does not diagnose illnesses or injuries, or prescribe medications.

    4) I have clearance from my physician to receive massage therapy.  

    5) I understand the risks associated with massage therapy include, but are not limited to: Superficial bruising Short-term muscle soreness Exacerbation of undiscovered injury I therefore release the company and the individual massage therapist from all liability concerning these injuries that may occur during the massage session. 
     
    6)
    I understand the importance of informing my massage therapist of all medical conditions and medications I am taking, and to let the massage therapist know about any changes to these. I understand that there may be additional risks based on my physical condition.

     7) I understand that it is my responsibility to inform my massage therapist of any discomfort I may feel during the massage session so he/she may adjust accordingly.

     8) I understand that I or the massage therapist may terminate the session at any time.

     9) I have been given a chance to ask questions about the massage therapy session and my questions have been answered.

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