Westinghouse Chair Massage Employee Waiver Form printable pdf download

Westinghouse Chair Massage Employee Waiver Form

Westinghouse Chair Massage

Employee Waiver Form

Please take a moment to read the following information:

I understand that massage therapy is provided for stress reduction, relaxation, relief from

muscular tension, and improvement of circulation.

If I experience pain or discomfort during the session, I will immediately inform my therapist so

that pressure/strokes can be adjusted to my level of comfort.

I will not hold my therapist responsible for any pain or discomfort I experience during or after

the session.

I understand that the services offered today are not a substitute for medical care. I understand

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

By signing this release, I hereby waive and release my therapist from any and all liability, past,

present, and future relating to massage therapy and bodywork.

Employee Name:_______________________________ Date: ____________________

Employee Signature:_____________________________________________________

Westinghouse Chair Massage Employee Waiver Form