Consent & Contract for Care: It is my choice to receive massage therapy at Manchester Massage and I give my unconditional consent to receive treatment. I have completed this form to the best of my knowledge and will inform the salon of any change in my physical health at any point in the future. I understand that a massage therapist cannot diagnose illness, disease, or any other medical, mental, or emotional disorder. Nor do they prescribe medical treatment, pharmaceuticals, or perform spinal thrust manipulations. I realize that the treatment is being given for the wellbeing of my body, mind and spirit. This includes stress reduction, relief from muscular tension, spasm or pain, also for increasing circulation or energy flow. I agree to communicate with my practitioner at any time when I feel that my wellbeing is compromised. I acknowledge that massage is not a substitute for medical examination or diagnosis; I am responsible for consulting a qualified physician for any physical ailments that I have. I understand that massage therapy is a therapeutic health aide and is non-sexual. No recourse may be made to either Manchester Massage or any of the Manchester Massage therapists is respect of treatment received, excepting the usual cover as offered by Public Liability.
In view of the coronavirus pandemic and any potential transmission outside of my own home, I fully understand that my electing to take a treatment at Manchester Massage is entirely of my own choosing and it is therefore my own responsibility to attend the premises and receive massage therapy.
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www.manchestermassage.co.uk | 28a Swan street | Manchester | M4 5JQ | 07415 831969 | 0161 834 9213