Consent Form | Alpha Omega Massage

By SUBMITTING THIS FORM, you agree to the following: 1) I give my permission to receive massage services. 2) I understand that therapeutic massage is not a substitute for traditional medical treatment or medications. 3) I understand that Grant Lindsay/Alpha & Omega Massage does not diagnose illnesses or injuries, or prescribe medications. 4) I have clearance from my GP/Health care professional to receive massage therapy. 5) I understand the risks associated with massage therapy include, but are not limited to: • Superficial bruising or redness• Short-term muscle soreness• Exacerbation of undiscovered injury I, therefore, release Grant Lindsay/Alpha & Omega Massage from all liability concerning these injuries that may occur during the massage session. 6) I understand the importance of informing Grant Lindsay/Alpha & Omega Massage of all medical conditions and medications I am taking, and to let Grant Lindsay/Alpha & Omega Massage knowabout any changes to these. I understand that there may be additional risks based on my physical condition. 7) I understand that it is my responsibility to inform Grant Lindsay/Alpha & Omega Massage of any discomfort I may feel during the session so he may adjust accordingly. 8) I understand that I or Grant Lindsay/Alpha & Omega Massage may terminate the session at any time. 9) I have been given a chance to ask questions about the session and my questions have been answered. 10) I understand the risks of adverse reaction to essential oils and have disclosed any allergies or sensitivities. I do not hold Grant Lindsay/Alpha & Omega Massage liable if any allergy or reaction occurs. 11) I release Grant Lindsay/Alpha Omega Massage from any material damages to my property and possessions.

Please complete and submit the details below prior to treatment. This form will then be stored in accordance with GDPR Regulations.

Please complete and submit the details below prior to treatment.
This form will then be stored in accordance with GDPR Regulations.