Please take the time to read the following information and sign where indicated:

I understand that the massage therapy given here is for the purpose of relaxation, relief from muscular tension, or for increasing circulation. I understand that the massage therapist does not diagnose illness or any other physical or mental disorder, injury or condition. I have informed my massage therapist about my state of health, history of health, and any recommendations on the part of my medical doctor or therapist insofar as bodywork is concerned. With this statement, I agree to have massage therapy and hold the massage therapist harmless from any problems that may arise as a result of the massage session.