Massage Therapy Waiver:

By signing, clients acknowledge these risks, confirm their voluntary participation, and typically release the therapist and facility from liability for any injuries or complications that may arise. The waiver may also include a confidentiality statement regarding the handling of personal information.

Name*

Phone*

Email*

Have you received a therapeutic massage before? *

. Do you consent to the treatment and agree to inform the therapist of any discomfort during the session? (Yes/No)*

Do you understand the nature of the massage therapy you will be receiving? (Yes/No)*

Do you acknowledge that there may be risks associated with massage therapy? (Yes/No)*

Do you have any medical conditions or injuries that we should be aware of? (Yes/No)*

Do you have any allergies, particularly to oils or lotions? (Yes/No)*

Signature and Date:*

Do you understand that by signing this waiver, you release the massage therapist and the facility from any liability for complications that may occur?*

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