Women only

Consent notification:

• By signing below, I agree to the following:
  I voluntarily request and consent to receiving a treatment from Chi Balance Therapies.
• I understand that the treatment offered is for the purposes of general wellness, stress reduction, and relief of muscular tension only.
• 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 the risks associated with massage therapy include, but are not limited to: possible Short-term muscle soreness or Exacerbation of undiscovered injury.
• I have been given the opportunity to ask questions about my treatment and my questions have been answered.
• I have been advised of Information regarding massage in general, benefits, contraindications of massage, and possible alternative therapies have been explained to me. I further understand that massage therapy is not a substitute for a medical examination or treatment, and that I should see a physician or other qualified health specialist for any mental or physical ailment of which I am aware. I understand that massage therapists do not diagnose illness or disease, and nothing said during the massage should be construed as such. My consent is informed and voluntary and I understand that I may withdraw my consent at any time except for actions already taken.