I understand that the Manual Lymphatic Drainage I receive is provided for the basic purpose of improving the flow of my lymphatic system and also for relaxation.
I further understand that massage or bodywork should not be construed as a substitute for medical examination, diagnosis, or treatment and that I should see a physician, chiropractor, or other qualified medical specialist for any mental or physical ailment of which I'm aware.
Because massage/bodywork should not be performed under certain medical conditions, I affirm that I have stated all my known medical conditions and answered all questions honestly. I agree to keep my massage therapist updated as to any changes in my medical profile and understand that there shall be no liability on her part should I fail to do so.
*Please Note: manual lymphatic drainage is a very powerful modality and certain medical conditions are contraindicated and determine if and when you can receive a session. After the consultation and review of the information you have provided on this form it will be determined if MLD should be administered to you. Some conditions will require a note from your doctor before proceeding. Please understand this is for your safety and well-being. Your health is important to me.