Improve general health waiver for customer's needs.

Massage Services Health History

Welcome to Nancy Taylor Day Spa
We are committed to providing you with unparalleled services and products. Please complete the following form as thoroughly as possible to help us achieve this goal.
Thank you for choosing Nancy Taylor Day Spa. It is our pleasure to serve you.


Consent for Care
I understand that the bodywork I receive is primarily for relaxation and muscular relief. If I experience discomfort during the session I will immediately inform my therapist to adjust the pressure/technique. I understand that this bodywork is not medical examination, diagnosis, or treatment. I agree that there will be no liability to my therapist if I fail to inform her of current conditions or changes in conditions. I also understand that if a suggestive or sexual remark or advance is made by me, the session will be terminated immediately and a police report will be filed. I also agree that if my condition is contraindicated for massage, I will not receive bodywork until I have received consent from my primary care physician.

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