Massage Therapy Consent and Release Form

By signing below, you agree to the following:

  • I voluntarily request and consent to receiving massage therapy.
  • I understand that the massage service offered is for the purpose of general wellness, stress reduction, and relief of muscular tension only.
  • I do not have any injuries or conditions that prevent me from receiving massage therapy. I understand the importance of informing my massage therapist of all medical conditions and medications that I am taking, and that there may be additional risks based on my physical condition.
  • If I experience any pain or discomfort, I will immediately inform my therapist so that the pressure or techniques used can be adjusted to my comfort level. I will not hold my massage therapist responsible for any pain or discomfort I experience during or after the session.
  • I understand that I or the massage therapist may terminate the session at any time.
  • I have been given the opportunity to ask questions about massage therapy and my questions have been answered.

By signing this form, I give my consent to proceed with the massage services at Oak Haven Massage as outlined above.

If you would rather print and populate a hard copy, please download this waiver.

Consent & Release Form: Populate the form below and receive a signed copy of your chair waiver in your email.

Chair Waiver
Customer Signature
Parent Signature