Massage Therapy Consent Form

Please read this form and keep it in mind as I may ask you to sign one.

You may ask to add or remove some conditions and I will be happy to disscus it.

I, consent to receive massage therapy from Anatoly.

I understand that:

  • Massage therapy involves the manipulation of soft tissues for relaxation and therapeutic purposes.
  • I understand that massage therapy is strictly professional and that any inappropriate behavior will result in the immediate termination of the session, with payment still required.
  • I understand that massage therapy involves hands-on contact and will communicate any discomfort or areas I do not wish to be touched.
  • My therapist will discuss my health history and any concerns before the session.
  • I have the right to communicate my preferences and any discomfort at any time during the session.
  • All personal and health information I provide will be kept confidential and used solely for safe and effective treatment.
  • I confirm that I do not have any contagious conditions, skin infections, or medical issues that would make massage therapy unsafe. If I am unsure, I will consult with my doctor before receiving a massage.
  • I must inform my therapist of any medical conditions, medications, or health changes that may affect my massage session.
  • Massage therapy is not a substitute for medical care. My therapist is not qualified to diagnose, prescribe, or treat medical conditions.
  • My therapist will not perform spinal or skeletal adjustments.
  • I release the therapist from any liability for injuries or discomfort that may occur during or after the session.
  • I will communicate any changes in my health before future sessions.

I have read and understood this consent form and voluntarily agree to receive massage therapy.

Date: ________________ Name: ________________ Signature: ________________