Massage Therapy Consent Form

Effective Date: April 17, 2026 | Version 1.0

Nature and Purpose of Massage Therapy

Massage therapy is provided for stress reduction, relaxation, relief from muscular tension, and improvement of circulation and energy flow. It is intended for general wellness and is not a substitute for medical diagnosis or treatment.

Here Massage therapists do not:

• Diagnose medical conditions or diseases
• Prescribe medications or medical treatments
• Provide chiropractic adjustments or physical therapy
• Treat injuries or conditions requiring medical intervention

My Responsibilities as a Client

I understand and agree that:

Communication During Treatment

• I will communicate openly with my therapist about pressure, comfort, and any pain or discomfort during the session
• I will inform my therapist immediately if I experience any unexpected pain, numbness, or discomfort
• I will speak up if the pressure is too light or too deep
• I will notify my therapist if I need the session adjusted or stopped

Health Information

• I have provided accurate and complete health information in my intake form
• I affirm that I have notified my therapist of all known medical conditions and injuries
• I will inform my therapist of any changes to my health before each session
• I understand that withholding or forgetting to provide health information may result in injury or complications, and there shall be no liability on the therapist's part should I fail to provide accurate or updated information
• It is my responsibility to consult my physician before massage if I have concerns about my health

Therapist Rights and Professional Boundaries

I understand that my therapist has the right to:

• Modify or stop the session at any time if continuing would be unsafe, inappropriate, or outside their scope of practice
• Decline to work on certain areas or conditions they are not trained to address
• Refuse service if I exhibit inappropriate, threatening, or unsafe behavior
• Adjust techniques based on my health information and physical response

Draping and Professional Standards

I understand and agree that:

• Appropriate draping will be used at all times to ensure comfort and professionalism
• Breasts and genitals will not be massaged under any circumstances
• Therapists maintain professional boundaries consistent with massage therapy licensing standards
• I may request additional draping or coverage at any time

Potential Effects and Risks

I understand that massage therapy may result in:

• Temporary soreness or tenderness, particularly after deep tissue work
• Temporary fatigue or light-headedness
• Increased need for hydration or rest
• In rare cases, bruising or aggravation of existing conditions

I agree to:

• Drink plenty of water after my session
• Rest if I feel fatigued
• Contact my therapist or physician if I experience unexpected prolonged soreness or adverse effects

Zero Tolerance for Inappropriate Behavior

Voluntary Consent and Liability Release

I have read and understood this Massage Therapy Consent Form and have had the opportunity to ask questions. I voluntarily consent to receive massage therapy services from Here Massage and its therapists.

I acknowledge that massage therapy involves touch and that I may request modifications to the session at any time. Furthermore, I waive and release my therapist from any liability, past, present, and future, relating to massage therapy and bodywork.

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