By signing below, I acknowledge that:
● I am aware of the benefits and risks of massage therapy and that I have completed this
form to the best of my knowledge.
● I understand that massage therapy is provided for stress reduction, relaxation, relief from
muscular tension, and improvement of circulation and energy flow.
● If I experience pain or discomfort during the session, I will immediately inform my
therapist so that pressure/strokes can be adjusted to my level of comfort. I will not hold
my therapist responsible for any pain or discomfort I experience during or after the
session.
● I understand that today's services are not a substitute for medical care and that my
therapist is not qualified to diagnose, prescribe, or treat physical/mental illness.
● I affirm that I have notified my therapist of all known medical conditions and injuries.
● I agree to inform the therapist of any changes in my health and medical condition and
that there shall be no liability on the therapist's part should I forget to do so.
● I understand that massage is entirely therapeutic and non-sexual in nature.
● By signing this release, I waive and release my therapist from any liability, past, present,
and future, relating to massage therapy and bodywork.
