I understand that massage therapy is provided for stress reduction, relaxation, relief from muscular tension, and improvement of circulation and energy flow. *
Your answer
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. *
Your answer
I affirm that I have notified my therapist of all known medical conditions and injuries. *
Your answer
I agree to inform the therapist of any changes in my health and medical condition. I understand that there shall be no liability on the therapist’s part should I forget to do so. *
Your answer
I understand that massage is entirely therapeutic and non-sexual in nature. *
Your answer
By signing this release, I hereby waive and release my therapist from any and all liability, past, present, and future relating to massage therapy and bodywork. *
Your answer
I have received the policy statement, and have read and agree to the policies therein. *
Your answer
By typing my name and date below (Parent or Guardian in case of a minor), I am signing this massage waiver. *
Your answer
A copy of your responses will be emailed to the address you provided.