I fully understand that thorough and honest responses to these questions are essential to my safety. I hereby confirm that the information stated above is accurate to the best of my ability.
The treatment procedure has been fully explained to me and I am happy to proceed with the treatment. I understand that seated acupressure massage is not a substitute for medical treatment.
I accept that the therapist cannot be held liable for any adverse effects or injury arising from treatment where accurate and complete medical information has not been disclosed. I agree to indemnify the therapist against any claims arising from undisclosed medical conditions or inaccurate information provided on this form.
I understand it is my responsibility to inform the therapist of any changes to my health prior to each subsequent session.