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What do you want this time?
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Massage Therapy Consent Form
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I, the undersigned, understand and agree to the following terms:
Purpose of Treatment:
The massage therapy provided is intended to promote relaxation, improve circulation, and relieve muscle tension. It is not a substitute for medical treatment, diagnosis, or examination by a qualified medical professional.
Medical Conditions:
I confirm that I have provided accurate and complete information regarding my medical history and current health conditions. I understand that withholding or providing false information may result in serious consequences, and I take full responsibility for any adverse effects resulting from incomplete or inaccurate information.
Risks and Benefits:
I understand that massage therapy may cause mild discomfort, bruising, or soreness following treatment, and I accept these risks. I acknowledge that the therapist will adjust techniques as needed to ensure my comfort and well-being.
Confidentiality:
All personal and medical information disclosed during the session will be kept confidential, except when required by law.
Cancellation Policy:
I agree to inform the therapist at least an hour in advance if I need to cancel or reschedule my appointment. Failure to do so may result in a cancellation fee.
Boundaries and Communication:
I understand that massage therapy involves physical contact. I acknowledge that I can communicate my comfort level at any time during the session and that it is my responsibility to inform the therapist immediately if I feel uncomfortable or wish for the massage to stop or be modified. I understand that certain areas of the body may be inadvertently touched during the session due to the nature of the treatment, despite the therapist's best efforts to avoid such areas. I agree not to hold the therapist responsible for any accidental contact, provided that it was not intentional or inappropriate. I acknowledge that I will not make any claims or complaints after the session regarding any discomfort or dissatisfaction that I did not raise during the treatment.
Release of Liability:
I hereby release and hold harmless the therapist and the business from any liability or claims arising from my participation in the massage session, except in cases of gross negligence or intentional misconduct by the therapist.
Client Responsibility:
I understand that it is my responsibility to inform the therapist of any changes in my medical condition or medication before future sessions.
Informed Consent:
I have read and fully understand this consent form. I agree to receive massage therapy and acknowledge that I do so at my own risk. I understand that I may withdraw consent at any time before or during the session.
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