BY SIGNING THIS CONSENT I GIVE PERMISSION TO RECEIVE TREATMENT FROM CERTIFIED AND LICENSCED PROFESSIONALS OF HEALING ELEMENTS DAY SPA. I REALIZE THAT THE TREATMENT IS BEING GIVEN FOR THE WELL-BEING OF MY MIND AND BODY. I AGREE TO COMMUNICATE WITH MY PRACTITIONER ANY TIME I FEEL THAT MY WELL-BEING IS BEING COMPROMISED.I UNDERSTAND THE RISKS ASSOCIATED WITH MASSAGE, SKIN CARE TREATMENTS, AND BODY SERVICES AND ASSUME RESPONSIBLILITY FOR SUCH TREATMENTS. I UNDERSTAND THAT THE SERVICE STAFF DO NOT DIAGNOSE ILLNESS, DISEASE, OR ANY PHYSICAL OR MENTAL DISORDER; NOR DO THEY PRECRIBE MEDICAL TREATMENT, PHARMACEUTICALS, OR PERFORM SPINAL THRUST MANIPULATIONS. I ACKNOWLEDGE THAT MASSAGE IS NOT A SUBSTITUTE FOR MEDICAL EXAMINATION OR DIAGNOSIS, AND THAT IT IS RECOMMENDED THAT I SEE A PRIMARY HEALTH CARE PROVIDER FOR THAT SERVICE.
I HAVE STATED ALL MEDICAL CONDITIONS THAT I AM AWARE OF AND WILL UPDATE MY SERVICE PROFESSIONAL OF ANY CHANGES IN MY HEALTH STATUS. Healing Elements can’t guarantee confirmations for your services please write or jot down your schedule time. They may also increase prices at anytime without notice.
I UNDERSTAND THAT HEALING ELEMENTS DAY SPA REQUIRES A 24-HOUR CANCELLATION NOTICE FOR ANY SINGLE SERVICE AND A 48-HOUR CANCELLATION NOTICE FOR WEEKENDS, MULTIPLE SERVICES OR GROUPS OF 2 OR MORE. ALL WEEKEND APPPOINTMENTS REQUIRE 48 HOURS CANCELATION NOTICE. If adequate time is not given I may be charged for my service.