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Metropolitan Chair Massage
Intake Form >>

Consent and Liability Intake Form

I agree to tell the Licensed Massage Therapist of any relevant medical conditions that they need to know about including but not limited to any recent cancer treatment or recent medications I have taken.  I also understand that massage therapy is not a substitute for medical treatment, medications or doctor care.   I will also inform the Licensed Massage Therapist if the pressure is too much or not enough.


I release and hold harmless the company I work for or am providing services for, under which the massage therapist(s) from Metropolitan Chair Massage (MCM) provides massage therapy on premise, from all claims, compensation and any legal action, caused by or in any way related to the massage therapy provided by any massage therapist working for MCM during the agreed to time and services provided by MCM.


I also understand that it is strictly prohibited by MCM policy for any therapist to provide any traditional massage that requires disrobing in any way shape or form.  If table massage is requested, MCM therapists may only perform sports massage that is to be done on the fully clothed individual only, no exceptions.