
Massage therapy Consent
DESCRIPTION OF TREATMENT
Massage therapy uses manual techniques of touch, pressure, and movement to manipulate the muscles and connective tissue of the body. The treatment requires laying down for the duration of the 60- to 90-minute procedure.
potential risks
Massage therapy is intended to enhance relaxation, reduce stress, relieve muscle tension, and improve circulation. Massage therapists do not diagnose, prescribe, or treat medical conditions and massage is not a substitute for medical care. While massage is generally safe, potential risks include:
Temporary soreness, redness, or lightheadedness
Worsening of certain medical conditions if not previously disclosed
Possible allergic reaction to oils or lotions
It is your responsibility to inform your therapist of all relevant health conditions (refer to the following section) and any changes to your health.
notification of relevant conditions
Please disclose any relevant health conditions so your therapist can provide a safe and effective session. Relevant conditions include:
Cardiovascular issues (high/low blood pressure, heart disease, etc.)
Recent injuries, surgeries, or fractures
Skin conditions, infections, or rashes
Allergies (including to oils, lotions, or scents)
Neurological conditions (seizures, stroke history, etc.)
Pregnancy or recent childbirth
Any other chemical peel within 14 days of the treatment
Skin must be healthy and intact
Any other condition of which your therapist should be aware
client rights
As a massage therapy client, you have the right to:
Ask questions about any aspect of the massage
Stop the session at any time for any reason
Refuse any technique or area of the body at any time
Maintain personal and health information confidential unless otherwise required by law
PATIENT CONSENT
I agree to the following terms and conditions for receiving massage therapy:
If I experience pain or discomfort during the session, I will immediately inform my therapist so that pressure/strokes can be adjusted to my level of comfort. I will not hold my therapist responsible for any pain or discomfort I experience during or after the session.
I understand that today’s services are not a substitute for medical care and that my therapist is not qualified to diagnose, prescribe, or treat physical/mental illness.
I affirm that I have notified my therapist of all know medical conditions and injuries.
I agree to inform the therapist of any changes in my health and medical condition and that there shall be no liability on the therapist’s part should I forget to do so.
I understand that massage is entirely therapeutic and non-sexual in nature.