The Chair massage is provided by Unwind Massage Lounge, LLC (“Unwind”) for you to experience the benefits of stress reduction and therapeutic massage. The Chair massage is designed for your comfort and support common areas of concern include the head, neck, shoulders, back (upper, mid, and lower), arm and band muscles.
By signing below, you acknowledge that you have scheduled one or more chair massage sessions with Unwind. You understand the massage should not be performed under certain medical conditions and consent to the best of your knowledge that you are physically and mentally healthy enough to receive the message. You understand that if you are pregnant, you are required to stay within the recommended setting for the massage chair.
Waiver of Liability
I declare the following:
1. I am over the age of 18 years old.
2. I have told Unwind if I am pregnant, and I have consulted my medical professional on any risks that I may be subjected to by undergoing these services with Unwind.
3. I do not have any injuries or other medical conditions that would prevent me from receiving a chair massage, nor have I been told by a health provider that I should not receive massage therapy.
4. I have not started any new medications, including antibiotics, in the last 48 hours.
5. I understand that I may be asked questions about my general health and physical condition and that I am obligated to be truthful about my health history.
6. I understand that massage therapy and bodywork are for the purposes of stress reduction, relief from muscular tension or spasm, general relaxation and improvement of circulation and energy flow. It is not a substitute for medical care and qualified medical diagnosis.
7. I understand that a chair massage is therapeutic and not medical services.
8. I will report any discomfort or pain at any level to Unwind.
9. By signing this waiver, I hereby for myself, my heirs, administrators, and assignees, waive and release any and all rights and claims for damages that may hereafter accrue to me, or which I have against Unwind, for all and any injury, loss, pain and suffering, and damages suffered by me during the course of or in any way connected to this chair massage session.
PLEASE SIGN BELOW
6621 SNIDER PLAZA
DALLAS, TX 75209
214.814.2727