General Liability Form New Clients

General Liability Form New Clients

I understand that massage therapy is intended to enhance relaxation, reduce pain caused by muscle tension, increase range of motion, improve circulation, and offer a positive experience of touch. Any other intended purposes for massage therapy are specified below: (If any)

The general benefits of massage, possible massage contraindications, and the treatment procedure have been explained to me. I understand that massage therapy is not a substitute for medical treatment or medications and that it is recommended that I concurrently work with my Primary Caregiver for any condition I may have. I am aware that the massage therapist does not diagnose illness or disease, does not prescribe medications, and that spinal manipulations are not part of massage therapy.

I have informed the massage therapist of all my known physical conditions, medical conditions, and medications, and I will keep the massage therapist updated on any changes. I understand that there shall be no liability on the practitioner's part due to my forgetting to relay any pertinent information.

If I experience any pain or discomfort during the session, I will immediately communicate that to the therapist so the treatment can be adjusted.

I understand and agree to abide by the therapist's policies and will not hold D'valley Luxury Spa & Bodywork LLC or the therapist responsible for any personal injury or loss of property. Page 1 of 2

New Client Policies

Please be advised of the policies for this office. Your signature below signifies acceptance of these policies.

Cancellation A 24-hour notice is required for the cancellation of an appointment, or you will be charged in full for the appointment. Payment is due before your next appointment.

Tardiness Appointment times are as scheduled and cannot extend beyond the stated time to accommodate late arrivals. Please be on time for your appointment.

Sickness Massage/bodywork is not appropriate care for infectious or contagious illness. Please cancel your appointment as soon as you are aware of an infectious or contagious condition. If it is within the 24-hour notice period, the cancellation fee may be waived.

Authorize Payment Your signature below authorizes and directs payment to the massage/bodywork practitioner for services provided by this office.

IN WITNESS WHEREOF, the parties hereto have executed this Agreement as of the day and year first above written.