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 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, Ashiatsu, hot stones, deep tissue, Gua Sha, and others include, but are not limited to, superficial bruising, short-term muscle soreness, burns, and exacerbation of undiscovered injury. You understand that, because massage therapy work involves maintained touch and close physical proximity over an extended period, there may be an elevated risk of disease transmission, including COVID-19.
It is your responsibility to 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.
Throughout the service, the massage therapist will always use a drape, meaning a blanket and sheet, for your security and modesty. There is no genital massage or perineal massage (massaging the tissues between the anus and genitals). Any illicit or sexual innuendos or advances will result in termination of the session and you will be liable for full payment of the session. To maintain professional boundaries set by the law, the massage therapist does not date clients.
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.
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.
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.
If you’re late, it is at the massage therapist's discretion whether you receive your full time.
By signing this release, you hereby waive and release Vita Nova Massage PLLC, and Antonietta Ramirez, Owner and licensed massage therapist (LMT) from any liability, past, present, and future relating to massage therapy and bodywork.
COVID-19 OFFICE PROTOCOLS
BY SIGNING BELOW, YOU AGREE TO FOLLOW THESE PROTOCOLS:
- Temperatures will be checked with a contact-less thermometer to screen for Covid-19. Any high temperatures or other Covid-19 symptoms being displayed will require the session to be rescheduled.
- Hands will need to be washed or sanitized before entering the massage studio.
- Masks are required when a healthcare mask mandate is in place.
- No guests are allowed in the waiting area or massage studio. Appointments will be staggered by 30-60 minute blocks. This is to ensure your massage therapist has adequate time to air out the room and to thoroughly complete cleaning/sanitizing protocols set by the CDC, OSHA, and DOH.