I, (Owner’s Name), allow my Animal User(s) as noted above to receive services as follows (only those chacked above: Massage Therapy/Bodywork and/or Bemer Pulsed Electro-Magnetic Field Therapy (PEMF) and/or additional therapies including but not limited to Thermal Imaging, Raindrop therapy, and Kinesiology Taping therapy (additional therapies) from Veteran to Horse Kneads therapist, Jennifer Beem (Therapist) today and all future dates in the year 2026. I understand that massage, additional therapies and PEMF are not a substitute for medical treatment or to be used in lieu of medications, and that it is recommended that I work with my veterinarian for any medical conditions that my animal(s) may have. I understand that any of the massage/bodywork and additional therapy sessions are for the purpose of stress reduction, relief from muscular tension, general relaxation, reduction of inflammation, and improvement of circulation and range of motion. I understand that PEMF is designed for the purpose of cellular exercise to promote and report a sense of wellbeing. I understand that myself and therapist will maintain confidentiality in regards to any communication regarding the care of animal user(s). I agree also, to non-disparagement and agree to not speak negative or spread ill-will about therapist or services in any forms of communication. I further will communicate with therapist if something is wrong. I understand therapist relies exclusively on word of mouth only and does not generally promote on social media.
I understand that therapist will NOT massage, perform additional therapies, or use PEMF if the any of the following statements are true: Animal User is suffering from any type of infectious or viral disease, Animal User is pregnant, Animal User has been diagnosed with cancer, Animal user is running a fever, Animal User is in shock, Animal User is actively bleeding or hemorrhaging, Animal User has recently (within 72 hours) been Vaccinated or sedated in anyway, Animal User has any illness/injuries or concern of illness/injuries that have not yet been evaluated by a veterinarian, or if Animal user has colic. Further, I understand that if the animal user becomes dangerous (Kicking, biting, or otherwise will not stand still) at any portion of the session that therapist may stop the session and continue at a later date for safety purposes. I will further consult a veterinarian to decide whether it is appropriate to proceed with any therapies in any of these instances and provide written documentation to therapist from the veterinarian approving use of any therapies. By signing, I acknowledge that I have informed the Therapist of all my animal’s known physical conditions, limitations, medical conditions and medications to the best of my ability. 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. I understand that the therapist cannot diagnose illness or disease, cannot prescribe medications; further, the therapist is not a medical professional, and therefore will not diagnose, treat, or cure any disease, injury or ailment. I understand that any information provided by the therapist is for educational purposes only, and is not diagnostically prescriptive in nature. If I have further questions, I will moreover consult with a veterinarian, licensed chiropractor, nutritionist, and/or farrier for further advice.
I understand that therapist has a fee schedule. I have reviewed its contents and understand that payment is due at the end of sessions. I understand therapist will maintain a Fee Schedule as follows and is subject to change at any time. Therapist will not allow no payments. If therapist is not paid, therapist has the right to not schedule client until payment is received.
· New Clients 1st Session ONLY: $25 - Full 10-point Evaluation, Thermal Imaging Images, Massage and Bemer
· Each Following Regular Session: $20 – Massage and Bemer
· Additional Therapies: $10 per option – Choose One: Bemer, Ice Horse, K-tape, Thermal Imaging, Full Evaluations
· Raindrop Massage $250
· Rehabilitation 30-day Program (7-Massages and 2 Full Evaluations with thermal Imaging): $150
I understand also that therapist has a travel fee from 7944 Buffham Road, Lodi, OH 44254 to the barn location depending on miles. If the barn is under 30 miles there is no fee, if the barn is over 30 miles a $5 fee will apply and any barn 50 miles is $10. If barn is located over 50 miles, a fee will be addressed based on need. Mileage Fees are applicable per horse. I understand if I have questions regarding how much my Mileage Fee is I will ask my therapist prior to my appointment.
I understand payments can be made in the forms of cash, Checks made to Jennifer Beem, PayPal: @Jennbeem92, Zelle: jennbeem92@gmail.com or, Venmo: @JennBeem. I understand also that if I use any of the Payments other than cash or check, please use friends and family options. If leaving a note use date and horse name. Therapist, will consider other options for payment if needed at the time of the request.
By signing the following, I agree to the terms and conditions set forth in this document and fully understands its contents. I am aware that this is a contract between myself and the therapist and contains an assumption of risk and release of liability for myself, my property, property relating to the barn and barn owner, and my animal user(s). I am aware therapist has a compassion and understanding for horses and treats them and their owners with trust, understanding and respect. I understand I have the right to express any discomfort in the treatment or terminate treatment at any time. I understand I am to be present at every scheduled appointment for the duration of the appointment and/or will have a responsible, horse knowledgeable person available to represent me during the appointment. I agree to release therapist from any loss, damage, liability or injury arising out of, or resulting from, participation in massage therapy/bodywork, additional therapies and PEMF, including any negligent acts or omissions. By signing, I declare that I am signing on my own free will. By signing this release, I also certify that I am eighteen (18) years of age or older or have delivered the consent of my parent(s) or guardian to the therapist, Jennifer Beem, Veteran to Horse Kneads Therapies. Further, by signing this release, I hereby waive and release the therapist, Jennifer Beem, Veteran to Horse Kneads Therapies, from any and all liability, past, present and future, relating to massage/body work, additional therapies and PEMF practices.