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Samantha & Julie Massage Therapy


To reduce confusion


You will sign a version of this on your initial visit.


I understand that massage or bodywork may be contraindicated for certain medical conditions or symptoms. A referral from my physician or licensed health care provider may be necessary prior to service being provided.

I further understand that massage or bodywork is provided for the purpose of relaxation and relief of muscular tension. If I experience any pain or discomfort during my appointment, I will inform the therapist so that the pressure or strokes may be adjusted accordingly. I understand that massage or bodywork should not be perceived by me as a substitute for medical examination, diagnosis, or treatment and that I should consult a physician, chiropractor, or other qualified medical specialist for any mental or physical condition that I am aware of.

I have been informed that massage/bodywork therapists are not qualified to perform skeletal adjustments, diagnose, prescribe, or treat any physical or mental illness, and that nothing said during the session should be perceived as such.

Because massage or bodywork should not be performed under certain medical condition, I attest that I have stated all my known medical conditions, and answered all questions honestly. I agree to keep the therapist updated as to any changes in my medical condition and agree that there shall be not liability on the therapist’s part should I neglect to do so.



Samantha Bowman LMT: 480-797-4666

Julie Hathcock LMT: 480-216-0682