This Agreement is entered into by and between Simona Simmons (herein after known as “recovery therapist/practitioner”) and the undersigned client (hereinafter known as “Client”) for the purposes of setting a provision of sports recovery services by recovery therapist/practitioner to Client, and Client’s use of any premises, facilities or equipment are contingent upon this Agreement.
TREATMENTS PROTOCOL:
Treatments may include; Compression Boot Therapy, PNF & assisted-stretching, percussion therapy, k-taping, functional movement training, decompression cup therapy, myofascial release, kinesio-taping, and more.
Baseline and follow-up assessments are implemented to track treatment progression. Each client will have access to progression sheet upon request.
RISK ASSUMPTION:
I understand that Recovery Therapy is provided for stress reduction, flexibility, relaxation, relief from muscular tension, and improvement of circulation, range of motion and energy flow.
If I experience pain or discomfort during the session, I will immediately inform my practitioner so that pressure can be adjusted to my level of comfort. I will not hold my therapist/practitioner responsible for any pain or discomfort I experience during or after the session as bruising can result from treatment.
I affirm that I have notified my therapist/practitioner of all known medical conditions and injuries. I agree to inform my practitioner of any changes in my health and medical condition. I understand that there shall be no liability on the instructorʼs part should I forget to do so.
I understand that there is a 12-hour cancellation policy. If I am unable to cancel before that time I will be responsible for the costs associated with that session.
I understand that the services offered today are not a substitute for medical care. I understand that my practitioner is not qualified to perform spinal or skeletal adjustments, diagnose, prescribe, or treat physical or mental illness.
MEDIA RELEASE:
I grant BIOMOTIVES permission to use photographs, videos, or other media recordings taken during non-disclosed participation in treatment sessions by BIOMOTIVES. This includes promotional materials, websites, social media, and marketing purposes. I understand that I will not receive any compensation for the use of any image or likeness. I release BIOMOTIVES from any liability arising from the use or publication of the media recordings.
ACKNOWLEDGEMENT:
By signing this release, I hereby waive and release Biomotives, LLC, and No Limit Fitness, KC from any and all liability, past, present, and future relating to recovery therapy & bodywork treatment sessions.