Please read the policies listed below BEFORE you contact me to book your first appointment. You will also be required to sign this document upon arrival at my office for your treatment. Failure to sign this document and other required intake forms will result in my cancellation of your appointment with no refund of your monies.
YOUR CONDUCT AND VIOLATIONS WARNING:
Inappropriate behavior of ANY kind will not be tolerated. All services are non-sexual. Requests for sexual activity will not be tolerated, will be viewed as a solicitation for illicit sex, and reported to the local police. Sexual discussion of any kind of sexual topics, including sexual jokes, and words with a hint or innuendo of sexual topics between the client and the massage therapist is not tolerated. Touching me in an inappropriate manner (with sexual intention) is not tolerated. I reserve the right to refuse to work on a person who is or appears to be under the influence of alcohol or drugs. I reserve the right to protect myself by whatever legal means I deem necessary. Violation of these policies will result in:
- Immediate session termination and your immediate removal from the business property;
- NO refund of your monies owed the business for services performed either partially or fully;
- Immediate report to local police of your identity and illegal conduct of attempted sexual solicitation at my place of business;
- Possible legal prosecution for my personal pain and suffering from your attempted sexual harassment/sexual solicitation toward me.
DISCLAIMER AND INFORMED CONSENT:
The massage and cupping therapies I practice are for the purposes of deep relaxation, stress management, reduction of muscular tension, and for personal, holistic well-being. I do not diagnose illness, disease or any other physical disorder. I do not prescribe medication or perform spinal manipulations. I shall not be held liable for any conditions that arise after the massage. It is your responsibility to thoroughly read my POLICIES and FAQs on my website and to ask me questions pertaining to your services. You agree to this for the initial and future treatments by signing this consent form. Consent may be withdrawn at any time by either party and clients are encouraged to continuously communicate boundary requirements with me. You shall communicate to me your desired level of pressure of massage and which areas to avoid and which areas to treat. You agree to state all information on the health history form accurately and completely and will inform me verbally of any new conditions or changes in health at the time of check-in. I respect all clients regardless of age, gender, race, national origin, sexual orientation, religion or political affiliation. I will maintain the confidentiality of all client information except in the event the client agrees to disclosure in writing, or by court order.