I understand that massage therapy is intended to promote relaxation, relieve muscle tension, and improve circulation. I acknowledge that Kinconnxon does not diagnose illness, disease, or any physical or mental disorder, nor do they prescribe medical treatment or pharmaceuticals.
I understand massage and bodywork is not a substitute for medical care.
I affirm that I have stated all known medical conditions and answered all questions honestly.
I agree to keep the therapist updated as to any changes in my health profile and understand that there shall be no liability on the therapist's part should I fail to do so.
I give consent for Kinconnxon to work within their scope of practice and comfort level based on the information provided.
By checking the box I agree that I have read and understand all parts of this Intake, Agreement and Consent Form.
By signing below, I give my informed consent to receive massage therapy. I understand I may withdraw consent or stop treatment at any time.
