I have filled this form out to the best of my ability and knowlegde. It is my responsibility to communicate all health related information and changes to my health and/or medications to the therapist before a session begins. I understand that the therapist cannot and will not diagnose illness, disease, or any other medical, physical, or emotional disorder, or perform any spinal manipulations. My therapist may suggest seeing a different professional (such as primary care physician, chiropractor, etc). I understand that it is my responsiblity to consult a qualified person for any ailment I may have.
I will receive care instructions for after my massage sessions and for any additions to my massage therapy session that I choose to add, (such as cupping, aromatherapy, hot stone, etc). It is my responsibility to follow the instructions given to me.
I understand that without written consent, the therapist cannot release privacy information to anyone except to the client.
I understand that if the therapist begins the session late, she will make up the time to me in the end of the session or adjust my cost accordingly. I understand if I arrive late, my session will end at the designated time, and I will still be charged for the full session.
I agree to give 24 hour notice for cancelled appointments, and I understand that without this notice or reschedule, I may be charged for the full missed session.