Massage Therapy Waiver Form
Review and sign to confirm your consent and understanding of the massage services.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Date
*
-
Month
-
Day
Year
Date
Massage Therapy Waiver & Consent
*
I understand that massage therapy is provided for relaxation, stress reduction, and general wellness purposes. I acknowledge that massage is not a substitute for medical care, diagnosis, or treatment, and I understand that the therapist does not diagnose conditions or prescribe medication. I have disclosed any relevant medical conditions, injuries, allergies, or concerns that may affect my treatment. I understand it is my responsibility to inform the therapist of any changes to my health status before each session. I understand that possible side effects may include temporary soreness, fatigue, emotional release, or skin irritation. I release the massage therapist and associated business from liability for any injury or condition that may arise from failure to disclose relevant health information or from receiving treatment against medical advice. By signing below, I confirm that I have read and understand this waiver and consent to receive massage therapy services.
Client Signature
*
Submit Waiver
Submit Waiver
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