Waiver And Policies

I understand the benefits and limits of massage therapy, and that massage therapy may cause adverse reactions in certain situations.

If I experience any discomfort I will immediately inform my therapist so he may adjust his technique

I Understand that massage therapy is not a substitute for medical care.

I understand that my massage therapist is not qualified to perform spinal or skeletal adjustments, diagnose, prescribe, or treat physical or mental illness.

I affirm that I have notified my therapist of all known medical conditions and injuries.

I agree to inform the therapist of any changes in my health and medical condition. I understand that there shall be no liability on the therapist’s part should I forget to do so.

I certify that all information I have provided in this form is correct to my knowledge.

I understand that my personal health information will be collected. I understand that all information that I provide will be kept confidential unless required by law. I understand and consent that my medical information may be shared by staff and practitioners of Clearly Living as well as their professional partners and consultants involved in my care and treatment.

I understand that massage is entirely therapeutic and non-sexual in nature.

If I am signing on behalf of a minor, I understand that a parent or legal guardian will need to be present in the room at all times during massage treatment.

By agreeing to this release (or agreeing on behalf of a minor whom I am the parent or legal guardian of), I hereby waive and release Clearly Living (AKA  Lehigh Valley Medical Massage, LLC) and it’s associates, staff, and contractors from any and all liability, past, present, and future relating to massage therapy and bodywork.