Lunar Waves Massage and Bodyworks

-tissue, and myofascial techniques. Massage therapists do not diagnose medical diseases or musculoskeletal conditions. Massage therapy is not a substitute for medical examination or treatment. Massage therapists do not prescribe herbs or drugs, including aspirin or ibuprofen, or medical treatments. They do not perform spinal adjustments and they cannot counsel clients about emotional or spiritual issues as would be provided by a mental health professional or spiritual leader. If you experience symptoms that lead you to believe you may have a medical condition, it is recommended that you visit a physician for diagnosis and treatment. Expectations and Rights The client has a right to prompt, professional service in an environment that is clean, private, and safe. Client information is not shared with any members of the public or other healthcare providers unless the client releases the information in writing. Massage Therapists are mandatory reporters. The client has the right to end the session at any time should they feel dissatisfied or uncomfortable with the session in any way. Formal complaints can be filed with the state on their website: You can find information about actions that constitute unprofessional conduct at 26 V.S.A. Section 5427 and 3 V.S.A. Section 129a. https://legislature.vermont.gov/statutes/chapter/26/105
https://sos.vermont.gov/opr/complaints-conduct-discipline/

Your Massage Session and Adverse Massage Reactions
The therapist will take you to a private treatment room, review forms with you, and discuss your goals for the session. The therapist will customize the massage to meet your specific needs within the limits of his or her training and scope of practice. The therapist will then leave the room while you undress and position yourself under the drape on the massage table. Only the area being massaged at the time is undraped as the session proceeds. Massage may lead to adverse reactions in certain situations or when used with certain conditions or medications. The massage therapist will evaluate your health history intake and ask questions to make sure it is safe for you to receive a massage. In the event the massage therapist is uncertain that massage will be of benefit to you, she may ask you to provide a note from your physician stating that it is safe for you to receive a massage. Please provide complete details of medical conditions and medications to your massage therapist during the health-intake interview. Failure to inform the massage therapist of all medical conditions and medications may place you at increased risk for adverse reactions. Business Policies and Practices
24 hours notice is required to cancel or reschedule an appointment. Failure to cancel appointments at least 24 hours in advance or failure to show up for your appointment will result in a charge of 50% of the scheduled appointment fee. Requests for sexual activity will not be tolerated, will be viewed as solicitation, and reported to the proper authorities under the guidelines of the massage therapy policies and procedures. The client will not be rescheduled if this occurs. The breast and genital area will not be massaged under any circumstances. Sexual interaction or discussion of any kind between the client and the massage therapist is NEVER appropriate. I do not massage anyone under the age of 18 unless the parent or guardian is in the room and signs their form. I, ___________________________ have read and clearly understand the attached business policies/informed consent and would like to receive a massage session or request a session for my child or dependent. I understand that a copy of these policies is available to me at any time by request. I understand the benefits and limits of massage therapy and understand massage may cause adverse reactions in certain situations. If I experience any discomfort during the session, I will immediately inform my therapist so she can modify the massage strokes. I understand that it is my responsibility to keep the massage therapist informed of changes in my (or my child’s or dependent’s) health status, diagnosed medical conditions, and medication. I understand that failure to inform the therapist of these changes may place me (or my child or dependent) at greater risk of adverse reactions to massage. I release the massage therapist of any liability if I fail to disclose the appropriate health-related information. I understand Lunar Waves Massage and Bodyworks charges 50% of the appointment fee for canceling without 24-hour notice or no show.