Bodywork Client Agreements

Please read the following Agreements carefully. They contain policies that are important for your massage therapy and/or reiki session. If you have any questions on any of the items, please ask for clarification. In order to proceed with booking a session, you agree to these policies and agreements.

 

1. Updated Health Information. All the information given on my INTAKE FORM is correct and up to date. I take it upon myself to update my therapist about any pertinent changes in my health during future visits, especially regarding injuries, communicable diseases (including cold/flu symptoms such as cough, runny nose, headache, dizziness, nausea, etc.), cardiovascular problems, diabetes, pregnancy, surgeries, medications, or other illness/treatment. I understand that my health information is protected under the Health Insurance Portability and Accountability Act (HIPAA).

 

2. Scope of Practice. I understand that this massage or energy work is intended for relaxation, stress reduction, and relief of muscular tension or spasm, and is not a substitute for medical examinations or treatments. I understand the therapist does not diagnose, treat, or prescribe for any illness, ailment, or disease, whether physical or mental. For any specific health conditions, it is my responsibility to obtain clearance from my physical to receive massage therapy. Additionally, while the therapist may assist me in relief of physical or emotional symptoms, I understand that the therapist will not necessarily “fix” me.

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3. Non-sexual conduct. I am aware that this is a non-sexual massage. Any misconduct or inappropriate behavior in that arena will result in the immediate termination of the massage with full payment due.

 

4. Agency and communication. I understand that I am always in control of my body during my session and will feel free to comment on the comfort or discomfort of the amount of pressure or type of stroke used and let my therapist know. I can say “stop” at any time during the session.
 

5. Draping / Clothing. I understand that for I will be fully covered with a sheet (known as a “drape”) at all times and only the body part being worked on will be uncovered. For Shiatsu or Thai massage, I will be fully clothed and will arrive for my massaged dressed appropriately with a t-shirt, shorts, or flexible pants (athletic wear).

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6. Personal Hygiene. I understand that I am to come to my massage session showered or bathed, and maintain good personal hygiene, including my feet.

 

7. Payment Method. I agree to pay all session fees at the time I receive my massage. I agree to pay by cash, check, Venmo, Cash app, Paypal, or other agreed upon method of payment with the therapist after the massage. I understand that should I choose to pay with credit card, there will be an additional 3% charge to cover fees. If I pay by check and it bounces, I agree to pay a $35 service fee.

 

8. Cancellations / Rescheduling. I understand that keeping track of my appointment is my responsibility. A minimum 24 hours’ notice of cancellation or to reschedule is required; otherwise I will be required to pay 75% of the fee for a late cancellation or 100% of the fee for a no-notice missed appointment.

 

9. Late Appointments. If I am going to be late for an appointment or need to reschedule last minute, I agree to call/text as soon as possible and I understand that my time may be shortened as a result. I understand that the therapist may have a set client schedule and is unable to accommodate tardiness on my part.
 

10. Personal Belongings. I understand that for my safety, it is best to remove and secure necklaces, rings, or other accessories that might get in the way of the massage, and/or inform the therapist about pieces that cannot be removed. I take responsibility for my personal belongings.

 

11. Drugs, Alcohol, and Medication. I understand that I am to come to my massage free from the influence of drugs or alcohol. I understand prescription drugs can alter the internal environment of the body, and it is my responsibility to both inform my therapist on medications (including NSAIDs and other OTC drugs), as well as consult with my primary physician on the interaction of massage with any drugs I am currently taking.

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12. Risks. I understand the risks associated with massage therapy, including but not limited to short term muscle soreness, superficial bruising, and potential exacerbation on undiscovered injury.

 

13. Presence. I understand that the practice space is sacred and that the therapist places great intention in maintaining a peaceful environment that supports my healing. I agree to meet this with presence and turn my cell phone on silent or turn it off before the session.

 

14. Aftercare. I understand that the effects of massage continue after the session, and that I would benefit most from continuing to care for my body through hydration, rest, healthy eating, and practicing any stretches/exercises suggested by the therapist.

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15. Arbitration Agreement. I give permission to receive massage therapy and release Healing as Resistance of liability from injuries that may occur during the session. Should there be a dispute that arises, I agree to waive my rights to litigate these issues in court and instead resolve through binding arbitration in New Mexico.

 

 

_______________________________                                                   ______________                 ­­­­Client’s Signature                                                                             Today’s Date