I, the undersigned, acknowledge and agree to the following:
Voluntary Participation
I acknowledge that I am voluntarily receiving massage therapy services from a Pursue Healing therapist , a licensed massage therapist insured under the American Massage Therapy Association (AMTA). I understand that these services are intended to provide relaxation, relief from muscle tension, and support for overall well-being.
Health Information
I confirm that I have provided accurate and complete information regarding my health, including any medical conditions, injuries, or allergies that may affect my massage therapy session. I will inform the therapist of any changes to my health before future sessions.
Informed Consent
I understand that massage therapy is not a substitute for medical care or treatment. I acknowledge that Pursue Healing and its therapists do not diagnose medical conditions, prescribe medications, or provide medical treatment. I agree to seek advice from a licensed healthcare provider for any medical issues.
Please review our Policies link for more detailed information on our terms and conditions, privacy practices, and service procedures.
Risks of Massage Therapy
I understand that while massage therapy is generally safe, there are inherent risks, including but not limited to muscle soreness, bruising, or temporary discomfort. I voluntarily accept these risks and agree to communicate any pain or discomfort during the session to the therapist.
Release of Liability
I release and hold harmless Pursue Healing and its therapists from any and all liability, claims, or damages related to my massage therapy session, including any injury, illness, or adverse effect resulting from the treatment.
Responsibility for Environment
I understand that massage therapy services are being provided in my home, and I am responsible for ensuring the environment is safe and suitable for the session. This includes providing a clean, comfortable space and ensuring there are no hazards present.
COVID-19 and Infectious Diseases
I confirm that I am not experiencing symptoms of any contagious illness, including but not limited to COVID-19. I agree to inform the therapist if I have been recently exposed to or diagnosed with any infectious disease.
Termination of Session
I understand that Pursue Healing and its therapists reserve the right to terminate the session if any inappropriate behavior occurs or if the therapist feels unsafe in any way. No refund will be provided under such circumstances.
**By signing on the intake form, I acknowledge that I have read, understand, and agree to the terms of this waiver. I consent to receive massage therapy services from Pursue Healing therapists and assume all risks associated with the treatment.