SkinPro Studio
1942 Sam Rittenburg Blvd Suite A
Charleston, SC 29407
(843) 990-9386
Massage Therapy Consent Form
I understand I am seeking and accepting massage therapy techniques. These are not medical procedures, and are elective with no guarantee of results. I understand there could be soreness from treatment or skin reactions from products applied during treatment.
I agree to notify the office immediately with concerns.
I understand I may be asked to return to the office for additional treatment.
I understand photos may be taken with my verbal consent and agree that these photos may be published.
I have read and agree to the cancellation & scheduling polices of SkinPro Studio, which include a cancellation fee of $50 or loss of treatment credit if I cancel within 24 hours of my scheduled time.
COVID consent:
I understand that massage treatments involve maintained touch and close physical proximity over an extended period of time, there may be an elevated risk of disease transmission, including COVID-19, even with enhanced sanitation methods in place.
By signing this form, I acknowledge that I am aware of the risks involved and give consent to receive treatments from therapists and employees at SkinPro Studio. My consent is ongoing for as long as I seek services unless I withdraw this consent in writing. I authorize treatment until I notify SkinPro Studio in writing to revoke this authorization.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement as of the day and year of submission.