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.