Client Waiver

Please fill out the following form prior to your first appointment.

First name

Last name

Date of Birth

Please read and review the following statements: Required

I understand that bodywork, manual therapy, and/or massage therapy is provided for soft tissue manipulation, stress reduction, relaxation, relief from muscular tension, and improvement of circulation and energy flow.

I understand that practitioners may hold multiple credentials and/or licenses and may use multiple methods, modalities, and/or treatment styles in my session.

I affirm that I have notified my therapist of all known current and applicable medical conditions and previous medical history. I understand that services offered are not a substitute for advanced medical care.

I agree to inform therapist(s) of any changes in my health and medical condition. I understand that there shall be no liability on the therapist's part should I forget to do so.

If I experience pain or discomfort during the session, I will immediately inform my therapist so that techniques can be adjusted to my level of comfort. I will not hold my therapist responsible for any pain or discomfort I experience during or after the session.notify

I understand that bodywork, manual therapy and/or massage therapy is entirely therapeutic and non-sexual in nature.

I understand the Katalyst Bodywork and Performance LLC has a cancelation policy of 24hrs prior to the scheduled session. Late cancelations will be invoiced at the full session rate.

By signing this waiver, I hereby waive and release my therapist as well as Katalyst bodywork and Performance LLC and all of its agents from any and all liability, past, present, and future relating to massage and bodywork.

I declare that the info I’ve provided is accurate & complete

Your Signature

Thanks for submitting!