Health and Safety
Guest Liability Form
In accordance with health and safety regulations and guidelines, we are using appropriate measures to ensure the well-being of our Staff and Guests. Due to the nature of Therapeutic Massage and Bodywork treatments, some Service Restrictions may apply.
The following Health and Safety Liability Form will be issued in person before each session and will require signature before proceeding with Services from AIM Massage Therapy.
In consideration of my participation in Therapeutic Massage and Bodywork services from AIM Massage Therapy, I acknowledge and agree to the following:
- I affirm and certify that I read, understand and agree to AIM’s Terms and Conditions.
- I am at least eighteen (18) years old and give my consent to receive treatment today.
- I understand that some health conditions may prevent me from receiving treatment or may result in treatment modification. If it is determined that I am experiencing any compromising health conditions that may impede my treatment, causing risk to myself or to AIM Staff – including but not limited to intoxication, being diagnosed with or knowingly exposed to anyone diagnosed with a contagious viral or bacterial infection, recent heart attack or stroke, recent accident or major surgery, first trimester of pregnancy, or severe unexplained or undiagnosed symptoms – AIM reserves the right to cancel or modify my appointment.
- I voluntarily seek Services provided by AIM Massage Therapy and acknowledge that I must comply with all set procedures to reduce the spread of infections and diseases while attending my appointment.
- I acknowledge that I follow health and safety procedures in my home/facility set by health administrators and continue to limit my exposure to infections and diseases, including cleaning and disinfecting frequently touched objects and areas designated for Therapeutic Massage and Bodywork services.
- I understand that the risk of becoming exposed to, infected and/or harmed by any infection or condition may result from the actions, omissions or negligence of myself and others. Therefore, to the best of my ability, I will maintain honesty of my health status and inform my Massage Therapist of all conditions I am aware of.
If you can not honestly answer YES to any of the above statements, you will be asked to reschedule your appointment for another day.
By signing this form, I affirm and certify that all the information and answers to questions herein are complete, true and correct to the best of my knowledge. I understand that any misrepresentation, falsification, or omission of any facts called for in this form may render my scheduled appointment void and will be cause for cancellation.
I acknowledge that I am aware of the health and safety risks involved from receiving treatment at this time, I voluntarily agree to assume those risks and I release and hold harmless AIM Massage Therapy and my Massage Therapist from any and all liability for the unintentional exposure of any harmful condition.
