Informed Consent for Aesthetic Treatment Holistic Massage

The following document aims to inform the client about the nature of the holistic massage aesthetic treatment they will receive, as well as the possible risks and benefits associated with it. The client is requested to carefully read this document and ask any questions before signing.

Undersigned, [Customer's Full Name]

of legal age, domiciled at [Address]

with DNI number [Document number]

Agrega tu texto

,states in a clear, free and spontaneous manner that you AUTHORIZE [Name of therapist]

, to perform a holistic massage treatment on your person, according to the following detail:

Treatment Description:

Potential Benefits

● Deep relaxation ● Reduced stress and anxiety ● Muscle Pain Relief ● Improved blood and lymphatic circulation ● Balance of the nervous system ● Emotional and mental well-being

Potential Risks

● Although the risks associated with holistic massage are generally low, they can include: ○ Temporary discomfort in the treated area. ○ Temporary increase in pain. ○ Allergic reactions to the oils or products used (if used). ○ Muscle or joint discomfort in people with certain medical conditions.

Medical Conditions

  The client states that they have informed the therapist of any pre-existing medical conditions, allergies, injuries, or pregnancy that may affect treatment. The client understands that it is the therapist's responsibility to assess whether the treatment is appropriate for their physical condition.

Consent

  By signing this document, the customer will: ● You confirm that you have read and understood the information provided. ● Accept the risks and benefits associated with treatment. ● Authorizes the therapist to perform the holistic massage aesthetic treatment. ● Please understand that results may vary and are not guaranteed. ● You agree that the therapist cannot diagnose or treat any medical condition and that in case of persistent pain or any other health problem, you should consult a doctor. ● She attests to the veracity of the personal and clinical data reported in general and especially those referred to in this document and accepts the civil and criminal liability that assists her for omission or erroneous statement about her real state of health.

Client's Signature:

Date:

  Therapist's Signature: