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I, the undersigned, voluntarily consent to receive massage therapy services from the licensed massage therapist(s) at Therapeutic Healing and Bodywork, I understand and agree to the following:

• Purpose of Massage: The primary objectives of massage therapy include stress reduction, relief from muscular tension, spasm or pain, and enhancement of circulation or energy flow.

• Scope of Practice: I acknowledge that massage therapists are not qualified to diagnose illnesses, diseases, or any other medical, mental, or emotional disorders. They do not prescribe medical treatments or pharmaceuticals, nor do they perform spinal thrust manipulations.

• Communication: I commit to informing the therapist of any changes in my physical health and agree to communicate any discomfort or concerns during the session.

• Medical Consultation: I recognize that massage therapy is not a substitute for medical examination or diagnosis. It is my responsibility to consult a qualified physician for any physical ailments I may have.

• Professional Boundaries: I understand that massage therapy is a therapeutic health aide and is strictly non-sexual.

Consent for Hot Stone Massage:

In addition to the general consent above, I specifically consent to receive hot stone massage therapy and understand the following:

• Nature of Hot Stone Massage: This therapy involves the use of heated stones placed upon or used to massage my body with the intent to relax muscles.

• Potential Risks: While generally safe, hot stone massage carries risks such as burns or scarring due to unpredictable heat transfer. Even with proper care, burns may occur without immediate visual signs.

• Medical Conditions: Certain medical conditions, like diabetes, poor circulation, or reduced sensitivity to heat, may increase these risks. It is my responsibility to inform the therapist of any such conditions or medications that may heighten my risk.

• Skin Sensitivity: I acknowledge that skin type and medications can affect my risk. For instance, specific skin types may have particular sensitivities to burns and scarring.

• No Guarantees: While the therapist will use their best judgment, I understand that outcomes are not guaranteed, and unforeseen risks may arise.

Acknowledgment and Release:

By signing below, I confirm that I have read and understood this consent form, have had an opportunity to ask questions, and agree to receive massage therapy, including hot stone therapy, now and in the future. I release [Clinic/Practitioner Name] and its therapists from any liability arising from the services provided.