I am aware of the benefits and risks of massage therapy and give my consent for bodywork. I acknowledge that massage therapy is not a substitute for medical care, medical examination, or diagnosis.
I have stated all medical conditions that I am aware of and will inform my practitioner of any changes in my health status.
I understand that my personal health information will be collected. I understand that all information that I provide will be kept confidential unless required by law. I understand and consent that my medical information may be shared by the various care providers involved in my care and treatment. All services are professional and therapeutic, any requests that seem sexual in nature are grounds for immediate cancellation or termination of appointment and client status. These types of requests are considered solicitation, which is illegal.