Massage Therapy Consent Form

Please carefully read the consent form, as we will ask you to sign it prior to the massage session.

 

I, [_________________], consent to receive massage therapy from _______, a certified massage therapist.

I understand that massage therapy involves the manipulation of soft tissues for therapeutic purposes. The massage therapist discussed my health history and any specific concerns before the session.

I acknowledge that the therapist will use various techniques during the session and that I have the right to communicate my preferences or any discomfort during the massage.

I understand that the information I provide will be kept confidential and will only be used for the purpose of providing safe and effective massage therapy.

I confirm that I have informed the therapist of any medical conditions, medications, or changes in health status that may affect the massage session.

I understand that the therapist is not qualified to perform spinal or skeletal adjustments, diagnose, prescribe, or treat any physical or mental illness. Massage therapy is not a substitute for medical examination or diagnosis.

I release the therapist from any liability for any injuries or discomfort that may arise during or after the massage session.

I agree to communicate openly with the therapist about my experience and inform them of any changes in my health between sessions.

I have read and understood the terms of this consent form and willingly consent to receive massage therapy.

Date:__________ Full Name:_________________