Pertains to Massage Therapy
- I understand that massage therapy is provided for stress reduction, relaxation, relief from muscular tension, and improvement of circulation and energy flow.
- If I experience pain or discomfort during the session, I will immediately inform my therapist so that pressure/strokes can be adjusted to my level of comfort. I will not hold Dawn Papp, Registered Nurse, Licensed Massage Therapist, responsible for any pain or discomfort I experience during or after the session.
- I understand that the services offered today are not a substitute for medical care.
- I affirm that I have notified Dawn Papp, RN, LMT of all known medical conditions and injuries.
- I agree to inform Dawn Papp, RN, LMT of any changes in my health and medical condition. I understand that there shall be no liability on Dawn Papp, RN, LMT should I forget to do so.
- I understand that massage is entirely therapeutic and non-sexual in nature.
- I also understand that any illicit or sexually suggestive remarks or advances made by me will result in immediate termination of the session, and I will be liable for payment of the scheduled appointment.
- I hereby waive and release Dawn Papp, RN, LMT from any and all liability, past, present, and future relating to massage therapy and bodywork.
Pertains to Health Coaching/Diabetes Care and Management
- I hereby authorize Dawn Papp, Registered Nurse, Certified Health Coach to provide health coaching/diabetes care and management to me. I understand that my provider is licensed, qualified and trained to provide health coaching/diabetes care and management services or advice to individuals requiring or seeking healthy lifestyle goals. The consult will provide information and guidance about health factors within my control such as my diet, nutrition and lifestyle.
- I understand that Dawn Papp, RN, HC is not a medical physician and therefore will not diagnose medical conditions, but will provide support and guidance for my previously diagnosed conditions. I understand that this consultation is not a substitute for medical care and will alert my medical provider as to any changes to my diet, herbal, vitamin or mineral supplementation.
- The health/lifestyle evaluation provided to me is intended to guide and develop an appropriate and supportive healthy lifestyle program for me but will not diagnose disease.
- This consultation as stated, including the possible risks, complications, options, and expectations have been explained to me or my representative and consent is thus given.