Tranquility Therapy Consent Form

Treatment

Tranquillity Therapy is an innovative massage treatment that acts on three different sensory pathways, olfactory, tactile & auditory, to provide profound relaxation. The Tranquility Pro-sleep Massage uses the synergy of a unique blend of essential oils alongside our Tranquillity™ soundwaves and Ayurvedic & Indonesian Sea Malay qualities combined with the use of soft brushes. This gently guides the way to achieve a quiet & peaceful mind/body state, favouring sleep.

Tranquility Therapy is not a muscle or joint manipulative treatment. 

The products used within this treatment contain nuts; you must not have this treatment if you have an allergy to nuts. You must inform your practitioner of any allergies before Tranquility Therapy is provided. 

Valid consent

I understand that the Tranquility Therapy I receive is provided for the primary purpose of relaxation. If I experience any pain or discomfort during the session, I will immediately inform the therapist so that the pressure and/or strokes may be adjusted to my comfort level. 

I understand that massage should not be considered a substitute for medical examination, diagnosis, or treatment. I understand that massage therapists are not qualified to perform spinal or skeletal adjustments, diagnose, prescribe, or treat any physical or mental illness and that nothing said in the course of the session given should be construed as such. 

Because massage should not be performed under certain medical conditions, I affirm that I have completed the requested medical history form, stated all my known medical conditions, and answered all questions honestly. 

I agree to keep the massage therapist updated on any changes in my medical and understand that I shall assume all liability for damages sustained due to my failure to provide the massage therapist with any changes. 

I understand that any illicit or sexually suggestive remarks or advances made by me will result in immediate termination of the session and/or loss of massage service privileges, and I will be liable to pay for the treatment in full despite this termination.

I also understand that the Therapist reserves the right to refuse to perform massage on anyone he/she deems to have a condition for which massage is contraindicated.