Massage Consent & Waiver
Chair Massage Informed Consent & Liability ReleaseBy 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. I understand the importance of informing my massage therapist of all medical conditions and medications that I am taking, and that there may be additional risks based on my physical condition.
• If I experience any pain or discomfort, I will immediately inform the therapist so that the pressure or techniques used can be adjusted to my comfort level. I will not hold my massage therapist responsible for any pain or discomfort I experience during or after the session.
• I am physically capable of getting on and off a massage chair safely.
• I understand the risks associated with massage therapy include, but are not limited to: superficial bruising, short-term muscle soreness, and exacerbation of undiscovered injury.
• I have not received a positive test for coronavirus within the past 14 days, and currently have no symptoms.
• I do not have any contagious conditions that may put my massage therapist or other clients at risk.
• 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 and my questions have been answered.I have been advised of the policies and procedures pertaining to massage and I understand these policies. Information regarding massage in general, benefits, contraindications of massage, and possible alternative therapies have been explained to me. I further understand that massage therapy is not a substitute for a medical examination or treatment, and that I should see a physician or other qualified health specialist for any mental or physical ailment of which I am aware. I understand that massage therapists do not diagnose illness or disease, and nothing said during the massage should be construed as such. My consent is informed and voluntary and I understand that I may withdraw my consent at any time except for actions already taken.By signing this form I give my consent to proceed with the massage service as outlined above.☑ I have read and agree to the above massage consent and waiver.