Soothing Spirit Therapeutic Massage LLC
2000 Hogback Rd Suite 5 Ann Arbor, MI 48105
734-730-1711 | www.soothingspiritmassagetherapy.com | firstname.lastname@example.org
Medical History: If you have experienced any of the symptoms marked with an asterisk (*), please discuss your medical history with Kyisha before your session; this is to ensure your safety and well-being.
100% Full Payment is required for the following conditions:
50% Payment is required for the following condition:
Late Arrival: If you are more than 15 minutes late to your session you are welcome to receive whatever time is left in your appointment. Due to a tightly booked schedule I am generally unable to extend your session beyond your original appointment time. Regardless of the length of the service actually given, you may be responsible for payment of the full service you scheduled. Please plan to arrive 10 minutes early for your appointment.
Smokers are asked to please shower before your appointment and avoid smoking until after your appointment; this helps us avoid the smell of smoke in our office, which triggers migraines and asthma attacks in our most sensitive clients, especially children.
Good Hurt vs. Bad Hurt
When you get a massage, you may experience "good hurt" and "bad hurt." It is important to understand the difference between "good hurt" and "bad hurt" because "bad hurt" needs to be avoided.
"Bad hurt" is when you....
Bad Hurt will actually cause your whole body to be tense and when your body is tense, the muscle knots will not release. To have the best massage results, avoid "bad hurt" by telling your massage therapist right away, as soon as you feel the "bad hurt."
Please reschedule your appointment as soon as you are aware of an infectious or contagious condition.
If you arrive for your appointment with symptoms of an illness, you will kindly be asked to reschedule your appointment to avoid the spread of germs. This protects our most susceptible loved ones - children, the elderly, & people with suppressed immune systems, like cancer patients.
If any of the following describes you, I kindly ask that you reschedule your appointment:
Even if you are cancelling your appointment within the 24-hour notice period, the cancellation fee may be waived; the onset of symptoms doesn't always have great timing.
Special Consent for Massage of Inner Thighs, Gluteal Muscles (Buttocks), & Pelvic Floor
What are these areas?
Why work these areas?
Many times, pain or discomfort in the lower back is due to issues with the muscles in the buttocks, inner thigh, and pelvic floor regions.
Client Education = Empowerment
In order to achieve treatment goals, your therapist may deem it appropriate to work on muscle or connective tissue in the inner thighs, buttocks, and pelvic floor regions.
The anal area and the genitals will always be draped (covered) and will not be touched.
Even if you consent to massage in this area today, you can always choose not to receive it at any point of your treatment. You, the client, have the right to change consent at any time during a treatment.
Please let your therapist know immediately if at any time treatment feels uncomfortable in any way.
2. I fully understand all questions and information provided in the New Client Intake Form for Soothing Spirit Therapeutic Massage LLC.
6. If client is under the age of 18 a parent/legal guardian must sign... I state that I am the parent/legal guardian of listed minor and I have read and agree with all statements. I am giving permission for my minor child to receive massage from Soothing Spirit Therapeutic Massage LLC.