Consent & Release of Liability

Please read and complete this form carefully before your session. The information you provide helps your therapist ensure a safe and effective treatment.

Client Information

Health Declaration

Please answer the following questions honestly. All information is kept strictly confidential.

Important Notes

• Drink plenty of water after your session

• Please arrive on time for your appointment

• Give at least 24 hours notice if you need to cancel or reschedule

• Your comfort and safety are my top priorities.

Release & Consent

By checking the box below, I acknowledge and agree to the following:

• I understand that massage therapy is for relaxation, stress relief, and general wellness only and is not a substitute for medical care.

• I understand that I am not a medical doctor and do not diagnose medical conditions or prescribe medications.

• I understand that certain medical conditions may prevent or limit massage therapy. I agree to inform my therapist of any medical conditions, injuries, surgeries, or medications.

• I understand that I may be required to provide a medical clearance from my doctor before services can be provided, depending on my medical condition.

• I understand that all services are provided at will and may be refused, modified, or discontinued at any time for safety reasons.

• I agree that Renu Massage and the therapist are not held liable for any injuries or adverse effects that may occur during or after the session, except in the case of proven negligence or misconduct.