TERMS

1. I agree to receive massage from Amanda Wongsonegoro.
2. I have the right to stop the session for whatever reason.
3. I will communicate to the massage therapist if the pressure is too little or not enough.
4. I will notify the therapist at least 24 hours in advance if I need to cancel my appointment. If I do not notify her, I will still pay for the session.
5. The therapist will call me if I am running more than 10 minutes late for a session.
6. If more than 10 minutes late, a 30-minute session will be paid in full with no service. If it is a 60-minute session, the balance of the time will be honored. If it is a 90 minute session, the time left will be utilized for a massage session. All sessions will be paid for in full.
7. I understand that all information that passes between us will remain confidential.
8. I understand that the massage therapist does not diagnose illness, disease, or any physical or mental disorder; does not prescribe medical treatment or pharmaceutical, and does not do any spinal manipulations. It is clear to me that this massage is not a substitute for medical examinations and/or diagnosis and that it is recommended that I see a physician for any physical ailment.
9. I have stated all my known medical conditions and take it upon myself to update it during subsequent visits.
10. I will comment on the comfort or discomfort of the massage at all times. I will ask for less or more pressure depending on my comfort level during the session.
11. I will not exercise after the session on the day it is given. I will drink more water than if I had not received a massage.
12. If I am under the age of 18 my parent(s) give consent to receive therapeutic massage. A signature from either parent must be on this form.
13. I release the massage therapist from all liability as I am responsible for communicating my medical conditions, medications, and comfort level.