Female Clients Only:
    I am at least 18 years of age and I understand that bodywork therapy given here is for the purpose of skin treatment, stress reduction, relief from muscular tension or spasm, or for increasing circulation and energy flow.  I understand that the practitioner does not diagnose illness, disease or any other physical or mental disorder.  As such, the practitioner does not prescribe medical treatment or pharmaceuticals, nor does the massage therapist, skin care professional or Acupuncturist perform any spinal manipulations.  It has been made very clear to me that this bodywork is not a substitute for medical examinations and/or diagnosis and that it is recommended that I see a physician for any physical ailment that I might have. I acknowledge that beauty treatments, the practice of skin care, and the practice of massage, including, but not limited to, waxing, electrolysis, facial toning, body treatments, and various other beauty procedures is not an exact science and no specific guarantees can or have been made concerning the outcome. I understand that some clients experience more change and improvement than others. In virtually all cases, multiple treatments are required in order to realize a difference.

    I also understand and agree to assume the following risks and hazards which may occur in connection with any particular treatment including but not limited to: unsatisfactory results, soreness, poor healing, discomfort, redness, blistering, nerve damage, scarring, infection, change in skin pigmentation, allergic reaction, muscle damage, and increased hair growth. I understand that even though precautions may be taken in my treatment, not all risks can be known in advance.

    Given the above, I understand that response to treatment varies on an individual basis and that specific results are not guaranteed. Therefore, in consideration for any treatment received, I agree to unconditionally defend, hold harmless and release from any and all liability the company and the individual that provided my treatment, the insured, and any additional insureds, as well as any officers, directors, or employees of the above companies for any condition or result, known or unknown, that may arise as a consequence of any treatment that I receive.

    I have fully disclosed on my client intake form any medications, previous complications, or current conditions that may effect my treatment. I understand and agree that any legal action of any kind related to any treatment I receive will be limited to binding arbitration using a single arbitrator agreed to by both parties.

    I also understand and agree that if I make any illicit or sexually suggestive remarks or if I exhibit any sexual misconduct, I will be liable for payment for the “full” scheduled session, the appointment will end immediately, and I will not be allowed to receive sessions at Calming Influence, LLC in the future.