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Chair Massage Informed Consent & Liability Release

By signing below, you agree to the following:

• I hereby voluntarily request and consent to receiving massage therapy.
• I understand that the massage that I receive is for the purposes of general wellness and relaxation, stress reduction, and relief of muscular tension only.
• I do not have any injuries or conditions that prevent me from receiving massage therapy.
• If I experience any pain or discomfort, I will immediately inform the therapist.
• I am physically capable of getting on and off a massage chair safely.
• I understand the risks associated with massage therapy.
• I have not received a positive test for coronavirus within the past 14 days.
• I do not have any contagious conditions.
• 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.

I have been advised of the policies and procedures pertaining to massage. Massage therapy is not a substitute for medical examination or treatment. By signing this form I give my consent to proceed with the massage service.