Spa Consent Form

Spa Consent Form
Purpose. Spa promotes health wellness and healing. There are a lot of medical claims that spa treatment will help in many kinds of medical conditions.
Risks. There are still risks in this type of treatment and the therapists or the physician will explain everything to you.
Benefits. There are a lot of benefits that you will get from this type of alternative medicine. However, we would like to inform you that these treatments don't claim any therapeutic assurance.
Confidentiality. All data that we gather from this form will be kept confidential and will not be released to anyone without your consent.
Appointment Date
Requested Services
I authorized this spa clinic/center to perform the treatment or procedure I've selected.I confirmed that I am of legal age and I'm not under the influence when I signed this consent.I authorize the use of lotion, oil, and ointments to my body.I acknowledge that this therapy has no sexual intent and touching the therapist is strictly prohibited.I release this massage spa clinic/center for any responsibility in case of an accident, illness, or injury.I agree that all information listed below or from another form is accurate and true.I confirmed that I do not have any existing medical conditions that can affect the spa treatment.I confirmed that I have read the statements above and the staff explained the procedures to me.
Client's Name
First NameLast Name
Phone Number
Email
example@example.com
Address
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
Date Signed
MonthDayYear
Date
Client Signature
Clear
Should be Empty: