Intake

I understand that massage therapy is intended to promote relaxation, reduce muscle tension, and improve overall well-being. I acknowledge that massage therapists do not diagnose illness, disease, or any physical or mental disorder, nor do they prescribe medical treatment or medications.

I understand that:

Massage therapy is not a substitute for medical examination or diagnosis.

It is my responsibility to communicate any discomfort, pain, or concerns during the session so the therapist can adjust the treatment accordingly.

I must inform the therapist of any health conditions, injuries, or allergies that may affect the session, and updates to my health history must be disclosed before future appointments.

If I experience any unusual symptoms after a session, I should seek guidance from a qualified healthcare provider.

I understand that draping will be used at all times and that any inappropriate behavior may result in termination of the session.

By checking the box, I give my voluntary consent to receive massage therapy and acknowledge that I have read and understood the information above.

I understand that massage therapy is a strictly non-sexual therapeutic service. Any inappropriate language, behavior, or requests of a sexual nature will result in the immediate termination of the session, and full payment will still be required. The therapist reserves the right to refuse service to anyone who violates this policy.

I understand that all information shared on this intake form and during my massage sessions is strictly confidential. My personal and health information will not be discussed or released to anyone without my written consent, except when required by law (such as cases involving abuse, danger to self or others, or court orders).

I understand that my therapist maintains records in compliance with HIPAA standards and takes reasonable measures to protect my privacy, including the secure storage of files and the confidential handling of all communication.