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Disclaimer

Each of our clients, will be asked to read through and sign our Disclaimer and Client Declaration as part of the consultation process.

If you have any questions and/or require clarification at this point, your therapist will be happy to run through the details with you.

Once you are satisfied that you fully understand and accept all the points included in its content, you will be asked to sign and date the Consultation Form at the bottom, where indicated.

Client Declaration

I have completed my pre-treatment consultation with my therapist and confirm that I have understood and answered all questions arising as part of that consultation.

I confirm that at the date of signing, all the personal and medical information I have given is correct and that I have not omitted any information concerning my health; all of which should be disclosed has been disclosed and in full.

I confirm that I will keep my therapist advised of any changes to my medical circumstances, which may arise subsequent to this date and that I am wholly responsible for the consequences of any failure to do so.

I confirm that my therapist has explained the treatment procedure to me and has explained in detail the relevant contraindications to treatment.

I confirm that I understand there is a possibility, depending on my specific reason for treatment, that I may experience some physical discomfort, during and for a short time after, as my body adjusts to the treatment being received.

I confirm that I understand that my therapist will not diagnose illness, disease or any other physical or mental disorder and that massage therapy is not a substitute for a qualified medical examination, diagnosis or treatment.

Should my therapist believe there to be a particular health issue, they will refer me on to the relevant medical professional in order to gain a diagnosis. It may therefore be necessary to delay treatment through Body Mechanics until a diagnosis has been confirmed.

In agreement with my medical professional, my therapist will then devise a treatment strategy around this diagnosis as appropriate. In some circumstances this may mean that my medical professional may have to give their written medical consent to my Body Mechanics therapist and/or give my therapist access to my medical records.

I confirm that my participation in the treatment is undertaken freely and is my choice.

I hereby confirm that I fully understand and accept the contents of the Client Disclaimer and Client Declaration.

Client’s Name (block capitals)………………………………………..

Client’s Signature………………………………………………………………………

Date………………………………………………………………………………