I, {fullName64}, hereby consent to the massage therapy and other massage procedures such as stretching and other tools.
I acknowledge that I have the right to discuss the nature of treatment, treatment procedures and my health condition with the therapist.
I understand that therapeutic massage therapy does not diagnose and heal illness, disease, any physical or mental disorder. Massage therapy is not a substitute for medical examination. I understand that this treatment is designed to address the care and prevention of myofascial pain and dysfunction.
I understand that there can be risks to treatment, including but not limited to, tenderness, bruising, light headedness or dizziness which I do not expect all risks and complications to be explained before the treatment and I wish to rely on the judgement of my massage therapist regarding any risk management. Also, at any time I feel pain or discomfort during the session, I will immediately inform my therapeutic massage therapist.
I understand that I will be draped at all times and the areas undraped will be secure to insure there is no indecent exposure.
I will also have the privacy to undress/dressed and the therapist will knock and wait for my reply upon entering.
By my electronic signature below, I, {fullName64}, agree to the massage policy and client agreement above.