I understand that the massage I am consenting to is for the purpose of relief from muscular tension, and facilitating the range of motion and relaxation.

I understand that a massage is not a substitute for a medical examination, diagnosis or treatment.

If at any point during the massage I am uncomfortable or uneasy with the massage techniques being administered and/or I am experiencing pain or discomfort, I understand it is my responsibility to IMMEDIATELY inform Sonja so that the massage can be terminated or the pressure / techniques can be adjusted to a level of comfort.

I understand that I can provide feedback as to my personal preferences in regards to pressure (deeper or lighter) and discuss painful or sensitive areas of my body that I would not want massaged or massaged with a specific technique.

I understand that Sonja is not qualified to perform spinal or skeletal adjustments, diagnose, prescribe, or treat any physical or mental illness, and that nothing said in the course of the session given should be construed as such. 

Because massage should not be performed under certain medical conditions, I affirm that I will share my known medical conditions prior to starting the massage, and I will answer all questions honestly. 

I acknowledge and understand that Sonja must be fully aware of my existing medical conditions.

I agree to keep Sonja updated as to any changes in my medical profile during sessions and understand that there shall be no liability on Sonja’s part should I fail to do so. 

I understand that all information/conversation exchanged during a treatment session or about a treatment session remains confidential for the safety and well-being of myself and Sonja. 

I acknowledge that sexual innuendos, language and/or behavior will not be tolerated. Should this occur, I understand that the therapist will end the treatment session immediately and I will be charged the full amount for the session

I also understand that Sonja  reserves the right to refuse to perform massage on anyone whom she deems to have a condition for which massage is contraindicated.

I understand that Sonja may apply various modalities and will discuss these modalities prior to the massage. These applications may include, Gua sha, Cupping, or Hot stones:

CUPPING & GUA SHA

There are cases where cupping is contraindicated:  Skin Lesions or Inflammation (already present), organ failure (renal, hepatic, and/or cardiac), pacemakers, hemophilia or similar bleeding disorders, cancer, varicose veins, spider veins. 

Caution should be taken with any of the following conditions:  Diabetes (with complications or an acute infection), taking anticoagulant medication ex. (Aspirin, warfarin etc.), severe chronic disease such as heart disease, pregnancy, are within 6 weeks after giving birth, or are menstruating, lymphedema or anemia, new tattoos (localized), recently given blood or undergone a medical procedure. 

I understand that if  cupping is performed during my session there is a possibility of discolorations. These areas of bruising or discoloration are typically not painful, but can on occasion have soreness, itching and there may be soreness in the surrounding muscles. 

I understand that the reaction of discoloration is not bruising, but rather is due to cellular debris, pathogenic factors, stagnation, and fluids being drawn to the surface to be cleared away.

I understand that discolorations will dissipate over time and may take anywhere from two hours to two weeks or longer. 

I understand and I am aware that there can be side effects to cupping such as nausea/vomiting, fainting, blisters/infections, bleeding, bruising, headaches, dizziness, fatigue, and others.

I recognize the importance of after-care activities in relation to this, and acknowledge that marks are a potential physiological effect of cupping. Drinking water and taking Vitamin C has been reported to relieve these symptoms quickly. In some cases headaches and minor body aches may be experienced. 

I understand that I should avoid exposure to extreme cold or hot conditions.

I understand that it is encouraged that I stay hydrated as a healthy general practice, particularly within first 48 hours following receiving Massage & Cupping Therapy.

HOT STONES

I understand that hot stone massage is not suitable for everyone. There are risks associated with performing hot stone massage on individuals with certain conditions.

I acknowledge I must inform Sonja if I have any of the following conditions which may make hot stone massage contraindicated or may require Sonja to alter the massage: 

Pregnancy, diabetes, inflammatory skin conditions, open wounds or sores, hypotension or hypertension, cancer, varicose veins, blood clot(s), neuropathy, autoimmune condition (MS, Lupus, RA, HIV etc.), peripheral vascular disease, heat sensitivity, Compromised immune system, edema or lymphedema, cardiovascular disease 

Given this knowledge I hereby give my full consent to receive hot stone massage and take full responsibility of any side effects or harm that may come from my receiving hot stone massage. 

I understand that I will be receiving hot stone massage as an adjunct form of healthcare only and that this therapy is not meant to replace appropriate medical care. I release Sonja of any and all liability for any harm that may unintentionally occur during my treatment(s).