INFORMED CONSENT & POLICIES
BY SIGNING BELOW, YOU ACKNOWLEDGE AND AGREE TO THE FOLLOWING:
Therapeutic massage is not a substitute for traditional medical treatment or medications. The massage therapist does not diagnose illnesses and injuries or prescribe medications. You are at least 18 years of age. You have clearance from your physician to receive massage therapy. You give your permission to receive it. You will inform your massage therapist of all medical conditions, allergies, and medications and if there are any changes. You understand there may be additional risks based on your physical condition. The risks associated with massage therapy, such as cupping, hot stones, deep tissue, Gua sha, and Ashiatsu, include but are not limited to superficial bruising, short-term muscle soreness, burns, and exacerbation of undiscovered injury. Because massage therapy involves constant touch and close physical proximity over an extended period, you understand there may be an elevated risk of disease transmission, including COVID-19.
You will inform the massage therapist of any discomfort you may feel during the massage session so they may adjust accordingly. At any time, you or the massage therapist may terminate the session. You will not hold the therapist responsible for any pain or discomfort you experience during or after the session. There is no genital or perineal massage (massaging the tissues between the anus and genitals). Any illicit or sexual innuendos or advances will result in the termination of the session. And you will be liable for full payment of the session. The massage therapist does not date clients to maintain professional boundaries set by the law.
All communication between you and the massage therapist, such as conversations during sessions, phone calls, texts, letters, and e-mails, is confidential under the constraints of the law. It also applies to any session documentation and intake forms. These get deleted or safely secured in a locked closet and password-protected devices/accounts. You permit the massage therapist to contact your emergency contact(s) in case of an emergency.
PERSONAL BELONGINGS POLICY:
Vita Nova Massage PLLC is not responsible for lost, stolen, or damaged personal belongings. Wearing clothes and jewelry or placing items on or near the massage table during the session may get damaged by techniques, lotions, and oils. Phones, watches, and other electronics must be silent and stored away from the massage table.
CANCELLATION & PAYMENT POLICIES:
No-shows or cancellations within 48 hours of the scheduled appointment get charged the entire original service amount. And this includes rescheduling or wanting to shorten your session. Being over 30 minutes late or inappropriate is an automatically charged cancellation fee. If you arrive late, it is at the massage therapist's discretion whether you receive your full-time. A 50% deposit is due for the first session upon booking. Your credit card on file gets charged for this and future transactions. Payment is due at the end of every session. If it's been over six months since your last visit, a new credit card on file and a 50% deposit are due for that next session. Vita Nova Massage PLLC does not offer refunds.
GIFT CERTIFICATE POLICIES:
Gift certificates get sold in dollar amounts. They are not exchangeable for cash. In Washington State, gift certificates do not expire unless donated to a raffle, auction, and other events. If Vita Nova Massage's rates increase before a gift certificate is redeemed, the recipient may have a remaining balance to pay with another form of payment. Gift certificate recipients must reserve their appointment with a credit card on file per the cancellation policy. Gift certificates are forfeited if the recipient does not cancel within 48 hours. Or the credit card on file gets charged. The massage therapist must verify the authenticity of the physical gift certificate or e-gift card. If not, another form of payment is needed. A receipt or picture of the certificate does not qualify. Vita Nova Massage PLLC is not responsible for lost or stolen gift certificates.
By signing this form, you waive and release Vita Nova Massage PLLC and Antonietta Ramirez, Owner, and licensed massage therapist, from any liability, past, present, and future relating to massage therapy and bodywork.