-I understand that massage therapy is provided for stress reduction, relaxation, relief from muscular tension, and improvement of circulation and energy flow.

-I understand that if I experience pain or discomfort during the session, I will immediately inform my practitioner so that pressure and movements 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 should not be considered a substitute for medical examination, diagnosis or treatment. I understand that my practitioner is not qualified to perform spinal or skeletal adjustments, diagnose, prescribe, or treat physical or mental illness. Nothing said during the session(s) should be interpreted as medical advice.

-I affirm that I have notified my therapist of all known medical conditions and injuries, and have answered all questions honestly.

-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. It is also understood that any illicit or sexually suggestive remarks or advances made by me will result in immediate termination of the session, and I will be liable for FULL payment of the scheduled appointment.

-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.



-I agree to the Kaiya Healing Arts policy that if I need to cancel or move my appointment that I will give a 24 hour notice to the practitioner.

-My failure to do so will result in the billing for the FULL amount of the massage.

-I understand that this policy is in place to respect the working time of the practitioner, as well as honor this business designed to help not only my time and path but those of others.