I give my permission to receive massage therapy (which may include the use of the following modalities: deep tissue, Swedish, trigger point, joint mobility/stretching, high vibration/ percussion (HyperVolt), cupping, Gua Sha, KT tape and/or tens unit). Any of these modalities will be discussed prior to use with my therapist.*

I understand that therapeutic massage is not a substitute for traditional medical treatments or medications.*

I understand that the LMT (licensed massage therapist) does not diagnose illnesses or injuries, or prescribe medications.*

I understand the risks associated with massage therapy include, but are not limited to: Superficial bruising Short-term muscle soreness * Exacerbation of undiscovered injury.*

I understand the importance of informing my LMT of all medical conditions and medications I am taking, and to let the LMT know about any changes to these. I understand that there may be additional risks based on my physical condition.*

I understand that my LMT will check in multiple times a session to inquire about any discomfort so that they may adjust accordingly. It is encouraged that anytime I am uncomfortable I have the space to ask for any adjustment that may be needed. This includeds adjustment to pressure, technique, temperature, time on table, etc.*

I understand that I or the LMT may terminate the session at any time for any reason.*