Communication Agreement

I give permission to the therapist to contact me via phone and/or email regarding appointment confirmations, cancellations, or changes. Discussions about treatment or massage sessions should be made via phone call to protect privacy. The therapist agrees not to sell my contact information, and to use this information strictly for professional reasons. If any changes in contact information occur, I agree to communicate with the therapist as soon as possible to avoid lapses in necessary notifications regarding future appointments.

Client Agreement

It is my choice to receive massage therapy. I am aware of the benefits and risks of massage and give my consent for massage. I understand there is no implied or stated guarantee of success of effectiveness of individual techniques or series of appointments. 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 the massage therapist of any changes in my health status. 

COVID-19 Agreement

I knowingly and willingly consent to have massage therapy during the COVID-19 pandemic. I understand that the COVID-19 virus can have a long incubation period, during which carriers of the virus may not show symptoms and can still be highly contagious. I confirm that I am not presenting any of the following symptoms of COVID-19 listed below:

• Fever over 99.6 F degrees
• Chills with or without body aches
• Shortness of breath
• New loss of taste or smell
• Unexplained sores on soles of feet
• Unusual fatigue
• Cough
• Sore throat

(Please seek immediate medical attention if you are displaying severe signs of COVID-19)

I confirm that I have not been in close contact with anyone exhibiting the above COVID-19 symptoms within the past 14 days. I further confirm that I am not currently living with anyone who is sick or who is quarantined. To prevent the spread of contagious viruses and to help protect each other, I understand that I will have to follow the massage therapist's guidelines. 

Expected Conduct & Professional Boundaries

I understand that massage is entirely therapeutic and non-sexual in nature. The therapist reserves the right to immediately end the session if any sexual advances, comments, or jokes involving a sexual nature occur during the massage session. I will be required to surrender the full price of the session and will not be allowed to book any future sessions with the massage therapist.

The therapist requires all clients to wear undergarments during the session. This includes underwear, boxers/briefs, etc. for males; and underwear or the like for females. Bras are optional for females.

The therapist reserves the right to immediately end the session if you refuse to be draped during the session and you will be required to surrender the full payment of your session. You authorize the surrender of full payment for the session if you break any of these policies.

Requests for sexual activity will not be tolerated, will be viewed as solicitation, and reported to the proper authorities if the therapist chooses, under the guidelines of massage therapy policies and procedures. You will not be rescheduled if this occurs.

The breast and genital area will not be massaged under any circumstances. Permission will be asked before working close to these areas; otherwise a professional distance will be maintained. The low back, hip and gluteal areas will be massaged only with expressed permission. You agree to let the therapist know before your session if you do not want these areas worked on during your session.

Sexual interaction or discussion of any kind between the client and massage therapist is NEVER appropriate.

Cancellation Policy

If you need to cancel or reschedule your massage session, please do so with AT LEAST 24 hours notice of your scheduled appointment. Should you have an emergency and need to cancel your massage with short notice, there will be no penalty for the first time this occurs.

Second occurrence = $50 late cancellation fee

Third occurrence = $75 late cancellation fee

Fourth occurrence = $100 late cancellation fee

Any time you reschedule within the same week instead of cancelling, there will be no fee, nor will the appointment change be regarded as a late cancellation. 

I may remind you of your scheduled appointment as a courtesy, but you as the client are ultimately responsible for remembering your appointment. 

Financial Responsibility Agreement

I agree to pay for my massage session in full immediately upon making this appointment. I understand that, in accordance with the Cancellation Policy, I will be charged a fee for more than one late-cancellation. I understand that, if for any reason my payment does not go through, no further appointments will be made until previous payments are made in full.

Payment for Service

The therapist uses a secure online payment processor which accepts Visa, MasterCard, Discover, and American Express. The therapist does not accept personal checks for payment. Tips may be paid via card or cash.