Waiver and Release of Liability
I am allowing my companion animal to receive massage therapy. I understand that massage is not a
substitute for medical treatment or medications, and that it is recommended that I work with my Veterinarian
for any medical conditions that my animal may have. I understand that any of the massage sessions are for
the purpose of stress reduction, relief from muscular tension, general relaxation and improvement of
circulation and range of motion.
I understand that the Massage Therapist cannot diagnose illness or disease, cannot prescribe medications,
and that spinal manipulations are not part of massage. I understand that any information provided by the
Massage Therapist is for educational purposes only, and is not diagnostically prescriptive in nature.
I have informed the Massage Therapist of all my animal’s known physical conditions, limitations, medical
conditions and medications. It is my responsibility to update this information with the Therapist and contact
my Veterinarian if my animal’s physical condition, limitations, medical condition or medications should
change.
By signing this release, I hereby waive and release the Massage Therapist listed below from any and all
liability, past, present and future, relating to massage and bodywork.
Therapist: Deborah Glackin