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*I hereby agree to adhere to all safety precautions and home skin care as recommend and that all information is accurate to the best of my knowledge. I understand the 24 hours notice of cancellation is required or I will be charged 50% of the service and 100% of the service for my second missed appointment.
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*Acknowledgment of Risks
I, the undersigned, acknowledge that I have voluntarily chosen to receive massage therapy. I understand that massage therapy involves physical contact which may include the chest and glute areas and that, while the therapist will do their best to ensure a safe and comfortable experience, there are inherent risks involved. I also acknowledge that the massage therapist is not a licensed medical practitioner and that massage therapy should not be considered a substitute for medical diagnosis or treatment.
Medical History and Consent
I have disclosed all relevant medical information and conditions to the therapist, including but not limited to, any injuries, medical conditions, or allergies that might affect my treatment. I understand that it is my responsibility to inform the therapist of any changes to my medical status.
Waiver and Release
In consideration of receiving massage therapy, I, on behalf of myself, my heirs, executors, and assigns, hereby release and hold harmless Seventh Wonder Holistic Spa, its employees, agents, and representatives from any and all claims, liabilities, or damages arising from or related to the massage therapy services provided, except for those arising from gross negligence or willful misconduct.
Consent to Treatment
I consent to receive massage therapy and understand that I may withdraw my consent and discontinue treatment at any time. I also understand that massage therapy is not a substitute for medical treatment or diagnosis and that I should consult with my physician for any medical concerns.
Privacy and Confidentiality
I understand that my personal and medical information will be kept confidential and will only be used for the purpose of providing and improving my massage therapy services.
Payment and Cancellation Policy
I acknowledge that I am responsible for payment of all services rendered and understand the cancellation policy of Seventh Wonder Holistic Spa. Any missed or canceled appointments without proper notice may incur a fee.
Acknowledgment
I have read and understood this waiver and release form. I have had the opportunity to ask questions, and all of my questions have been answered to my satisfaction. I agree to the terms outlined above.