Consent and service agreement for massage therapy sessions covering health disclosure, scope of treatment, and payment terms. Two signers (therapist and client).
The Massage Therapy Consent and Agreement is a ready-to-use healthcare & wellness template you can send for signature in minutes. It is written for 2 signers (therapist and client) and, by default, expires 30 days after it is sent if left unsigned. It covers two signers, agreement, consent, disclosure, healthcare. Like every Abundera Sign template it is a convenience draft structured for ESIGN Act and UETA compliance, not a substitute for legal advice. Each signed copy is sealed with PAdES-LTA digital signatures, dual RFC 3161 timestamps, and a tamper-evident evidence package in WORM storage.
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# Massage Therapy Consent and Agreement **Effective Date:** ___________ This Massage Therapy Consent and Agreement ("Agreement") is entered into by and between: **Therapist:** ___________ ("Therapist") **License Number:** ___________ **Client:** ___________ ("Client") ## 1. Services The Therapist agrees to provide massage therapy services to the Client as described below: **Type of Massage:** ___________ **Session Duration:** ___________ **Session Frequency:** ___________ **Session Fee:** $___________ per session ## 2. Health Disclosure and Informed Consent (a) The Client acknowledges that massage therapy is not a substitute for medical treatment, diagnosis, or prescription. The Client should continue to see their regular medical provider for any health conditions. (b) The Client represents that they have disclosed all known medical conditions, including but not limited to: cardiovascular conditions, skin conditions, allergies, injuries, pregnancy, recent surgeries, blood clots, osteoporosis, cancer, diabetes, and infectious diseases. **Known Medical Conditions or Concerns:** ___________ **Current Medications:** ___________ **Allergies (including lotion/oil allergies):** ___________ (c) The Client understands that massage therapy may occasionally cause temporary soreness, bruising, or other minor discomfort. (d) The Client agrees to inform the Therapist immediately if any technique causes pain, discomfort, or distress during the session.