General Liability Release Form

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MASSAGE THERAPY SERVICES

Your Information

By signing below you agree to the following:

  1. I give my permission to receive massage therapy.
  2. I understand that therapeutic massage is not a substitute for traditional medical treatment or medications.
  3. I understand that the massage therapist does not diagnose illnesses or injuries, or prescribe medications.
  4. I have clearance from my physician to receive massage therapy.
  5. I understand the risks associated with massage therapy include, but are not limited to:
    1. Superficial bruising
    2. Short-term muscle soreness
    3. Exacerbation of undiscovered injury

    I therefore release the company and the individual massage therapist from all liability concerning these injuries that may occur during the massage session.

  6. I understand the importance of informing my massage therapist of all medical conditions and medications I am taking, and to let the massage therapist know about any changes to these. I understand that there may be additional risks based on my physical condition.
  7. I understand that it is my responsibility to inform my massage therapist of any discomfort I may feel during the massage session so he/she may adjust accordingly.
  8. I understand that I or the massage therapist may terminate the session at any time.
  9. I have been given a chance to ask questions about the massage therapy session and my questions have been answered.
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