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  • Breast Massage Consent Form

  • Purpose of Breast Massage: Therapeutic breast massage may be included in your session to support overall well-being by enhancing lymph and blood circulation, relieving tension, promoting relaxation, and fostering a deeper connection with the body. 

    The session is wholly therapeutic and will always remain respectful, professional, and strictly non-sexual.

    Rights and Professional Boundaries:

    • Breast massage is optional and will only proceed with your written and verbal consent.
    • Breast massage may be performed directly on the skin, over clothing, or over the sheet. 
    • Your breasts will remain draped (covered) unless you provide both verbal and written consent to uncover them at the time of breast massage.
    • Your massage therapist will ask for your verbal consent at the beginning of your session and immediately before working on breast tissue or undraping the breasts.
    • You may elect to receive breast massage without undraping the breasts.
    • You can withdraw consent or modify your preferences at any time during the session. 


    Respecting your comfort and boundaries is a top priority. Please share any questions, preferences, or concerns before, during, or after the session.

     

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