Massage Client Waiver Form

Please take a moment to read the following information:
1) I understand that massage therapy is provided for stress reduction, relaxation, relief from muscular tension, and improvement of circulation and energy flow.

2) 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.

3) I understand that the services offered today are not a substitute for medical care. I understand that my therapist is not qualified to perform spinal or skeletal adjustments,
diagnose, prescribe, or treat physical or mental illness.

4) I affirm that I have notified my therapist of all known medical conditions and injuries.

5) I agree to inform the therapist of any changes in my health and medical condition. I understand that there shall be no liability on the therapist’s part should I forget to do so.

6) I understand that massage is entirely therapeutic and non-sexual in nature.

7) By signing this release, I hereby waive and release my therapist from any and all liability, past, present, and future relating to massage therapy and bodywork.

8) I have received the policy statement, and have read and agree to the policies therein.