Service Disclosure

I voluntarily request and consent to receiving massage therapy. I understand that the massage service offered is for the purpose of general wellness, stress reduction, and relief of muscular tension only. I do not have any injuries or conditions that prevent me from receiving massage therapy. I understand the importance of informing my massage therapist of all medical conditions and medications that I am taking, and that there may be additional risks based on my physical condition. If I experience any pain or discomfort, I will immediately inform my therapist so that the pressure or techniques used can be adjusted to my comfort level. I will not hold my massage therapist responsible for any pain or discomfort I experience during or after the session. I understand that I or the massage therapist may terminate the session at any time.I have been given the opportunity to ask questions about massage therapy and my questions have been answered. I understand the risks associated with massage therapy include, but are not limited to:

• Superficial bruising

• Short-term muscle soreness

• Exacerbation of undiscovered injury

I have not received a positive test for coronavirus within the past 14 days, and currently have no symptoms. I do not have any contagious conditions that may put my massage therapist or other clients at risk.

I will provide 24 hours notice if I need to cancel my appointment. If I fail to cancel within 24 hours I will be charged in full for the session. (Emergencies are an exception.)

I have been advised of the policies and procedures pertaining to massage and I understand these policies. Information regarding massage in general, benefits, contraindications of massage, and possible alternative therapies have been explained to me. I further understand that massage therapy is not a substitute for a medical examination or treatment, and that I should see a physician or other qualified health specialist for any mental or physical ailment of which I am aware. I understand that massage therapists do not diagnose illness or disease, and nothing said during the massage should be construed as such. My consent is informed and voluntary and I understand that I may withdraw my consent at any time except for actions already taken.