Please fill out this form to the best of your ability.
Massage Informed Consent and Agreement
It is my choice to receive Thai massage, and I understand that the session is intended for relaxation, muscle tension release, increased range of motion, improved circulation, reduced stress, increased energy flow and balance, and a positive opening experience. I understand that Thai massage is not a substitute for medical treatment, examination, or medications, and that it is recommended to concurrently work with my primary caregiver for any condition that I may have. I have informed the Thai massage practitioner of all my known physical and medical conditions and medications, and I will keep her updated to any changes in my health status. I understand that all information regarding my health history, the records of my sessions, and other personal information related to the session will remain in complete confidence. If this information is requested, I will release it under written consent. I will follow the 24-hour cancellation policy via phone, or I will need to pay the full amount for the massage (unless it is an emergency situation). Thank you.