Spark Electric

Treatment Consent

System Template Active Massage Therapy

Consent for massage therapy services

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Client Information

Full Name *

Consent for Treatment

I understand that massage therapy is provided for relaxation, stress reduction, relief of muscular tension, and improvement of circulation and energy flow. Massage therapy is not a substitute for medical examination, diagnosis, or treatment.

I understand that the massage therapist does not diagnose illness or disease and does not prescribe medications. I acknowledge that massage therapy should not be construed as a substitute for medical care.

I consent to receive massage therapy services * Yes

I understand I can request changes to pressure or technique at any time * Yes

I understand I can end the session at any time * Yes

Cancellation Policy

I understand that a 24-hour notice is required for cancellation or rescheduling. Late cancellations or no-shows may result in a fee.

I have read and agree to the cancellation policy * Yes

Signature

Client Signature *

Signature pad