"I, undersigned, understand massage therapy involves manipulation of soft tissue and jkoints. As with any manual therapy, there are potential risks or side effects to treatment, such as delayed muscle soreness, headaches, or destabilization of medications and blood clots.


It is my responsability to inform my massage therapist of any changes in my medications and/or health history, as they arise, to ensure my safety.


Removal of clothing is optional; however, it is preferable that clothing be removed in order for my Massage Therapist to most effectively provide treatment. Only the areas being massaged/treated will be uncovered. My therapist will obtain my verbal consent to massage these areas prior to treatment, or during the treatment if necessary.


It is my right to refuse, modify, or terminate treatment at any time. Communication with my therapist is important to ensure the most safe and effective treatment.


Massage therapists do not diagnose illness or diease and, therefore, massage therapy is not a substitute for a full medical examination or diagnosis.