CONSENT FORM

I agree to the following: 

• The massage I receive is for the basic purpose of relaxation and relief of muscular tension. 

• I will immediately inform the therapist if I experience discomfort during the session–allowing the therapist to adjust pressure and/or strokes accordingly. 

• I understand that massage should not be constructed as a substitute for medical examination, diagnosis, or treatment. 

• I understand that massage therapists are not qualified to perform spinal or skeletal adjustments. 

• I affirm that I have stated all my known medical conditions and all questions honestly. 

• I agree to update the massage therapist as my medical profile evolves. 

• I understand that illicit or suggestive sexual remarks or advances made by me will result in immediate termination of the session. 

• I understand that the massage therapist reserve the right to refuse to perform massage on anyone whom he/she deems to have a condition which contradicts the need for massage.