Informed Consent for Treatment

The above information is accurate to the best of my knowledge and I freely give my permission to be massaged. I agree to inform the therapist of any experiences of pain during the session. I understand that this massage is not a replacement for medical care and that no diagnosis will be made. I further understand that massage should not be construed as a substitute for medical examination, diagnosis, or treatment. Additionally, receiving this service does not deter me from seeking medical treatment for medical conditions in need of further examination, diagnosis, or treatment by a qualified medical professional. I understand that no inappropriate, illicit, or sexually suggestive comments or conduct will automatically end the session upon which I will be liable for payment in full. I agree to update the massage therapist in regard to changes in my health and understand that there shall be no liability on the therapist’s part should I forget to do so. I agree to hold harmless the establishment, all management, including volunteers, from and against any and all claims. I agree to handle suit at its sole expense ad agree to bear all costs related even if claims, etc., are groundless, false, and fraudulent.