By SUBMITTING THIS FORM, you agree to the following:
1) I give my permission to receive massage therapies.
2) I understand that therapeutic massage is not a substitute for traditional medical treatment or medications.
3) I understand that Bronwen does not diagnose illnesses or injuries, or prescribe medications.
4) I have clearance from my physician to receive massage therapy.
5) I understand the risks associated with massage therapy include, but are not limited to:
• Superficial bruising or redness
• Short-term muscle soreness
• Exacerbation of undiscovered injury
I, therefore, release Holistic Habitat Therapies (Bronwen) from all liability concerning these injuries that may occur during the massage session.
6) I understand the importance of informing Bronwen of all medical conditions and medications I am taking, and to let her know about any changes to these. I understand that there may be additional risks based on my physical condition.
7) I understand that it is my responsibility to inform Bronwen of any discomfort I may feel during the session so she may adjust accordingly.
8) I understand that I or Bronwen may terminate the session at any time.
9) I have been given a chance to ask questions about the session and my questions have been answered.
10) Please be considerate and give at least 24 hours' notice or more if you are unable to attend.