I understand that the massage/bodywork I receive is provided for the basic purpose of relaxation and relief of muscular tension. If I experience any pain or discomfort during this session, I will immediately inform the practitioner so that the pressure and/or strokes may be adjusted to my level of comfort. I further understand that massage or bodywork should not be construed as a substitute for medical examination, diagnosis, or treatment that I should see a physician, chiropractor, or other qualified medical specialist for any mental or physical ailment of which I am aware. I understand that massage/bodywork practitioners are not qualified to perform spinal or skeletal adjustments, diagnose, prescribe, or treat any physical or mental illness, and that nothing said in the course of the session given should be construed as such. Because massage/bodywork should not be performed under certain medical conditions, I affirm that I have stated all my known medical conditions and answered all questions honestly. I agree to keep the practitioner updated as to any changes in my medical profile and understand that there shall be no liability on the practitioner's part should I fail to do so. I also understand that any illicit or sexually suggestive remarks or advances made by me will result in immediate termination of the session, and I will be liable for payment of the scheduled appointment.
Appointment Policy
Our appointments are reserved exclusively for you. A scheduled appointment is a commitment between you and our practice as a promise to appear. We require at least 24 hours (1 business day) notice for any cancelled or rescheduled appointment. We reserve the right to charge and collect full fees for any missed appointment. A missed appointment is considered a scheduled appointment in which you no show or a cancelled/rescheduled appointment with less than 24 hours (1 business day) advance notice. If you have missed multiple appointments, we will require prepayment to reserve your next appointment. We sincerely appreciate your understanding and cooperation with this policy.
Consent to treatment of a minor
By my signature below, I hereby authorize the therapist to administer massage, bodywork, or somatic therapy techniques to my child or dependent as they deem necessary.
