By signing below, I acknowledge and agree to the following:
1. Consent to Treatment
I voluntarily give my permission to receive massage therapy services provided by a licensed massage therapist at Haven Studio.
2. Understanding the Scope of Massage Therapy
I understand that massage therapy is intended for relaxation, stress reduction, relief of muscular tension, and improvement of circulation. It is not a substitute for medical care, diagnosis, or treatment.
3. No Medical Diagnosis or Prescription
I understand that the massage therapist does not diagnose medical conditions or prescribe medications or medical treatments of any kind.
4. Medical Clearance
I affirm that I have disclosed all known medical conditions and medications I am currently taking. I affirm that I have either received medical clearance or have chosen to proceed without it, understanding the potential risks involved.
5. Risks and Possible Side Effects
I understand that while massage therapy is generally safe, certain risks may be associated, including but not limited to:
Superficial bruising
Temporary muscle soreness
Exacerbation of undiscovered or underlying conditions
I release Haven Studio and the individual massage therapist from all liability for any injuries or adverse effects that may occur as a result of massage therapy.
6. Communication of Medical Conditions
I agree to inform the therapist of any changes in my health, medical history, or medications prior to any future sessions. I understand that full disclosure is essential to my safety and well-being during massage therapy.
7. Communication During Session
I understand that it is my responsibility to inform my massage therapist of any discomfort or pain I may experience during the session, so adjustments can be made accordingly.
8. Right to Refuse or Terminate
I understand that I may end the massage session at any time for any reason. I also understand that the therapist may terminate the session at any time if they believe continuing is not safe, ethical, or appropriate.
9. Use of Therapeutic Tools
I understand that my massage session may include the use of essential oils, warm towels, massage cups, blading tools, or other therapeutic aids. I will be informed of any tools to be used during the session and may decline any of them at any time. I understand that essential oils may cause skin sensitivity or allergic reactions. I agree to communicate any sensitivities or preferences before the session begins.
10. Confidentiality
I understand that all personal and health-related information shared with my massage therapist will be kept strictly confidential and stored securely. No information will be disclosed without my written consent, except when required by law.
11. Cancellation Policy
I understand that if I need to cancel or reschedule my appointment, I must do so at least 2 hours in advance. Cancellations made less than 2 hours before the scheduled session, or failure to attend without notice, may result in a charge for the full service fee.
12. Questions and Understanding
I confirm that I have had the opportunity to ask questions regarding this waiver and the massage therapy session, and all my questions have been answered to my satisfaction.
13. Limitation of Liability & Waiver of Negligence Claims
By signing this waiver, I agree to release and hold harmless Haven Studio and its massage therapists from any claims, demands, or causes of action arising out of or connected to my massage session, except where the injury or harm is the result of gross negligence or willful misconduct. This includes waiving claims of ordinary negligence, such as unintentional errors in technique or judgment that may result in discomfort or minor injury.
14. Understanding My Rights
I understand that signing this waiver does not remove my right to receive respectful, professional care. I also understand that I have the right to:
Be treated with dignity and respect
Be informed of the procedures and techniques to be used
Decline or stop any part of the massage at any time
Ask questions and have them answered fully
15. Waiver Submittal & Signature
I understand & agree that submittal of this form is an agreement to these terms, regardless of the legibility or minimization of my signature.
NOTE: Submittal of this form is an agreement to these terms, regardless of the legibility or minimization of your signature.