*The purpose of massage therapy is to help relieve stress and muscular tension. While massage has many beneficial effects, it is not intended as a replacement for appropriate medical intervention. The massage therapist does not diagnose illness or disease and does not prescribe medication. It is recommended that the client work with his/her primary care physician for any condition that he/she may have. However, there are many conditions for which massage is contraindicated, and a doctor’s release may be required. It is the responsibility of the client to keep the massage therapist informed of any medical treatment currently being taken, and to provide written permission from the physician, chiropractor, physical therapist, etc., that the massage may be continued. The client must also keep the massage therapist informed of any changes in health conditions. If you are under a doctor’s care, it is strongly advised that you receive a written recommendation for massage prior to any session. Depending on the condition, approval may be required from your doctor.*

*I understand that Mind Body Spirit offers massage therapy services, and that the therapists are trained and licensed professionals. I understand that the massage therapist will discuss my needs and concerns before the session, and that it is my responsibility to communicate my preferences and any areas of discomfort or pain. I understand that the massage therapist will customize the session to the best of their ability to meet my needs, but that the pressure and techniques used are at the therapist’s discretion. I understand that it is my responsibility to let the therapist know if the pressure is too intense or if I experience any pain during the session. I understand that massage therapy is intended to be a relaxing and pleasant experience, and that while self-care recommendations may be made by the therapist, there is no guarantee of a specific outcome or that the session will address all of my concerns. I understand that the results of massage therapy vary from person to person, and that the information provided to Mind Body Spirit is for the purpose of guiding the therapist in creating the best possible experience for me.*

*In the event that I am injured during the session and am unable to communicate my consent, I consent to emergency medical treatment and release the massage therapist and Mind Body Spirit from any liability for injuries sustained as a result of the session.*

*By signing this form, you confirm that all the information provided is accurate, to the best of your knowledge.*

*Please read this document carefully. You, the client, are the most important person in our business. If you have any questions about any of the procedures or policies, please do not hesitate to ask. Our goal is to provide you with an exceptionally wonderful experience, and to facilitate improvement in your well-being. To the best of my ability, I will do my part in providing you with a positive experience. With your help, we can meet and surpass your expectations.*

*The client understands that Mind Body Spirit is a facility that provides massage therapy services, and the client releases Mind Body Spirit and its agents from any and all liability, claims, demands, and causes of action whatsoever, arising out of or related to any loss, damage, or injury, including death, that the client may sustain, related to the services provided.*

*The client understands that the services provided are for therapeutic purposes only. The client agrees to indemnify, defend, and hold harmless Mind Body Spirit from any and all claims arising from or related to the services provided.*

*The client gives Mind Body Spirit permission to provide reports to the client’s physician upon request. The client also gives Mind Body Spirit permission to contact the client’s physician in case of emergency or if a health issue is observed during the session.*

*The client gives Mind Body Spirit permission to use any photographs taken in the facility for use on the Mind Body Spirit website and social media for the purpose of promoting services. Client identity will not be revealed.*

*The client gives Mind Body Spirit permission to add the client’s contact information to the Mind Body Spirit mailing list. Client information will not be shared with third parties.*

*The client gives Mind Body Spirit permission to charge the credit card on file for the services rendered, including any cancellation fees as per the cancellation policy.*

*The client understands that it is their responsibility to communicate their preferences and any discomfort during the session. The client should immediately inform the therapist of any issues during the session.*

*The client understands that it is their responsibility to inform Mind Body Spirit of any changes to their contact information. The client is responsible for any issues that may arise due to lack of communication of updated contact information.*

*The client understands that it is their responsibility to arrive on time for scheduled appointments. Late arrival may result in a shortened session, and the client is responsible for the full cost of the scheduled session.*

*The client understands and agrees to abide by the cancellation policy, which requires 24-hour notice for cancellation of appointments. The client is responsible for payment of the session in the event of a late cancellation or missed appointment.*

*By signing this form, you confirm that you have read and understood the contents of this form. If you have any questions or need clarification on any of the points mentioned, please feel free to ask for assistance.*

*If the client is a minor, the following consent must be filled out and signed by the minor’s parent or legal guardian.*

*I, the undersigned parent/legal guardian, understand that Mind Body Spirit offers massage therapy services, and that the therapists are trained and licensed professionals. I consent to the participation of my minor child in the massage therapy session. I understand that the massage therapist will discuss my child’s needs and concerns before the session, and that it is the therapist’s responsibility to customize the session to meet those needs to the best of their ability. However, I understand that the pressure and techniques used are at the therapist’s discretion. I understand that it is my responsibility to communicate any specific concerns or conditions related to my child’s health and well-being to the therapist. I understand that it is my responsibility to keep the therapist informed of any changes in my child’s health. If my child is under a doctor’s care, I understand that it is strongly advised that I receive a written recommendation for my child to receive massage therapy prior to the session. Depending on the condition, approval may be required from my child’s doctor.*

*I understand that the purpose of massage therapy is to help relieve stress and muscular tension. While massage has many beneficial effects, it is not intended as a replacement for appropriate medical intervention. The massage therapist does not diagnose illness or disease and does not prescribe medication. It is recommended that my child work with his/her primary care physician for any condition that he/she may have. However, there are many conditions for which massage is contraindicated, and a doctor’s release may be required. It is my responsibility to keep the massage therapist informed of any medical treatment currently being taken by my child, and to provide written permission from the physician, chiropractor, physical therapist, etc., that the massage may be continued. I understand that the results of massage therapy vary from person to person, and that while self-care recommendations may be made by the therapist, there is no guarantee of a specific outcome or that the session will address all of my concerns. I understand that it is my responsibility to inform the therapist of any physical restrictions or limitations that my child may have, and to explain those restrictions or limitations in detail.*

*I understand that if my child is injured during the session and is unable to communicate consent, I consent to emergency medical treatment for my child and release the massage therapist and Mind Body Spirit from any liability for injuries sustained as a result of the session.*

*By signing this form, I confirm that all the information provided is accurate to the best of my knowledge, and I consent to my minor child receiving massage therapy services from Mind Body Spirit.*

*Please read this document carefully. If you have any questions about the procedures or policies, please do not hesitate to ask. Our goal is to provide you and your child with an exceptionally wonderful experience, and to facilitate improvement in well-being. With your help, we can meet and surpass your expectations.*

*The undersigned parent/legal guardian consents to the participation of the named minor in the massage therapy session and agrees to the terms and conditions outlined in the document. The parent/legal guardian understands and agrees to abide by the policies and procedures described in the document.*

*By signing this form, you confirm that you have read and understood the contents of this form. If you have any questions or need clarification on any of the points mentioned, please feel free to ask for assistance.*