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PLEASE TAKE A MOMENT TO CAREFULLY READ THE FOLLOWING INFORMATION AND SIGN WHERE INDICATED.
I understand that the bodywork I receive is provided for the purpose of deep relaxation and promotion of whole body health. I further understand that bodywork should not be construed as a substitute for medical examination, diagnosis, or treatment. I understand that bodywork therapists are not qualified to perform spinal or skeletal adjustments, diagnosis, prescribe, or treat any physical or mental illnesses, and that nothing said in the course of the session given should be construed as such. Because bodywork should not be performed under certain medical conditions, I affirm that I have stated all my known medical conditions, and answered all questions honestly. I agree to keep the therapist updated to any changes to my medical profile, and understand that there shall be no liability on the therapist’s part should I neglect to do so. It is also understood that any illicit or sexually suggestive remarks or advances made by either of us will result in immediate termination of the session. I understand that 24-hour notice is required for cancellation of appointments and I will be charged for missed appointments.