By signing below you agree to the following:
1) I have completed this form to the best of my ability, and I agree to inform my therapist if any of the above information changes.
2) I give my permission to receive massage therapy.
3) I understand therapeutic massage is not a substitute for traditional medical treatment.
4) I understand that the massage therapist does not diagnose illnesses or injuries, or prescribe medications.
5) I have clearance from my physician to receive massage therapy.
6) I understand the risks associated with massage therapy include, but are not limited to: superficial bruising, short-term muscle soreness, and exacerbation of current or 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.
7) 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.
8) I understand that I am responsible for informing my massage therapist of any discomfort I may feel during the massage session so she may adjust accordingly.
9) I understand that I or the massage therapist may terminate the session at any time.
10) I have read and understand the cancellation policy.
Cancellation Policy: In the event that you need to cancel an appointment, please provide 12 hours notice. If you need to cancel with less than 12 hours notice, please try to send someone in your place. If you cannot make your appointment and are unable to send someone in your place, barring illness or an emergency, you will be asked to pay the full-service fee for the missed session. Gift certificates and prepaid packages may be used as payment for a cancellation fee. If I am able to fill the appointment slot, you will not be required to pay the cancellation fee.
11) Payment is due at the end of each session.