I understand that the massage I am about to receive will be administered for the primary purposes of relaxation and relief of muscle tension.
If I experience any pain or discomfort during the massage therapy I receive, I will immediately inform my massage therapist so that the pressure and/or manipulation can be adjusted to my comfort level. Furthermore, I understand that massage should not be construed as a substitute for a medical examination, diagnosis, or treatment, and that I should consult a physician or healthcare professional for treatment of any physical or mental problem of which I am aware.
I also understand that massage therapists are not trained to perform spinal adjustments, diagnose, prescribe, or treat any physical or mental illness, and I understand that nothing said during therapy should be construed as medical treatment.
Because massage should not be performed under certain medical conditions, I hereby declare that I have disclosed all my medical conditions and have answered all questions honestly. I agree to keep my therapist informed of any changes to my medical profile and understand that the therapist will not be liable if I fail to do so.
I also understand that any suggestion, innuendo, comment, or act of a sexual or illicit nature will result in immediate termination of therapy and I will be responsible for paying for it.
