Informed Consent for Massage Therapy

I understand and agree that:

1. Massage therapy is not a replacement for medical care and does not diagnose or cure medical conditions.

2. I must inform the therapist of any health changes before each session.

3. If discomfort or pain occurs, I will inform the therapist immediately.

4. The therapist may end the session if my behavior is unsafe or inappropriate.

Non-Sexual Contact Clause (Mandatory)

All massage services at Luminary Replenish are strictly professional and non-sexual.Any sexual comments, gestures, or requests will result in:

• Immediate termination of the session

• Full session charge

• Permanent refusal of future service

• Possible report to authorities, in accordance with Wisconsin law

I agree to respect all professional boundaries at all times.

Liability Release

I release Luminary Replenish and the therapist from any liability for unintentional injury that may occur except in cases of gross negligence or misconduct. I understand that no specific results are guaranteed.

Consent to Treatment

I have read, understood, and voluntarily agree to receive massage therapy. (Sign below)