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Please take a moment to read and initial the following:​

  • I understand that massage therapy is provided for stress reduction, relaxation, relief from muscle tension, and improvement of circulation and energy flow.

  • If I experience any pain or discomfort, I will immediately inform my therapist so the pressure/strokes can be adjusted to my level of comfort and tolerance.

  • I understand that massage therapy is UNDER NO CIRCUMSTANCES sexual in nature and I agree I will not encourage behavior such as harassment, jokes, or actions that are sexual in nature to occur in the clinic room and that my therapist can and will stop the session at that point, if any of the above behavior arises. 


  • I understand that the services today are not a substitute for medical care. I understand that my therapist is not qualified to diagnose or treat a condition that goes beyond the manipulation of soft tissue, and that includes skeletal adjustments. 

  • I affirm that I have notified my therapist of all known medical conditions and injuries incurred thus far, and if there are any changes, it is my responsibility to let her know.

  • I understand that because massage therapy work involves maintained touch and close proximity over an extended period of time, there may be an elevated risk of disease transmission, including COVID-19. 

  • 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.

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