By Signing I agree to the following:
It is my choice to receive mobile massage therapy at the address given prior to my appointment. I am aware of the benefits and risks of massage and give my consent for massage. I understand that there is no implied or stated guarantee of success of effectiveness of individual techniques or series of appointments. I acknowledge that massage therapy is not a substitute for medical care, medical examination or diagnosis. I have stated all medical conditions that I am aware of and will inform my practitioner of any changes in my health status.
I understand that my personal health information will be collected and it is my responsibility to update my massage therapist if any of my medical information changes. I understand that all information that I provide will be kept confidential unless required by law. I understand and consent that my medical information may be shared by the various care providers involved in my care and treatment.
I understand that it is my responsibility to inform my massage therapist of any discomfort I may feel during the massage session so he/she may adjust accordingly.
I understand that all massage services are purely therapeutic and follow all North Carolina ethical guidelines and the session will be terminated immediately if the client does not comply. Massages follow state and federal guidelines and the massage therapist or client may end the session at any point.
I understand and voluntarily accept any and all risks of which I have been advised and that are associated with my massage and herby release Lemon Lime Salon LLC (DBA: Vita Massage), its members, therapists, staff and all other personnel from all liability for any injury, including, without limitation, personal, bodily, or mental injury, economic loss or any damage to me resulting therefrom. I further hereby release all of the foregoing personnel and entities from all liability arising from any such injury or damage resulting from my failure to disclose any pre-existing condition, limitation, or specific sensitivities, or my failure to inform your therapist of any discomfort during the massage session. By signing this release, I hereby waive and release my therapist and Lemon Lime Salon LLC (DBA: Vita Massage), its members, therapists, staff and all other personnel from any and all liability, past, present, and future relating to any massage therapy and bodywork.
