BIOMECHANICAL COMMUNICATION TREATMENT CONSENT and AGREEMENT

I agree to receive treatment (including but not restricted to Muscle Activation Technique, Rolfing, Acupuncture, Visceral Work and/or Massage) from the Biomechanical Communication specialist for my own health improvement.

I understand following:

1. Receiving treatment is my responsibility.
2. If I cannot make my appointment, I will reschedule or cancel my appointment as soon as possible. I am responsible for paying the entire appointment fee if rescheduling or cancelling my appointment within 24 hours of my appointment. (There is no fee for cancellations made more than 24 hours in advance of my appointment.)
3. Prior to the session, I must always inform the Biomechanical Communication specialist of any conditions I have.
4. I understand that this is not a massage session so if during a treatment session my body is not able to continue, I agree to stop the session, and I understand that I am responsible for paying for the full session fee.
5. I may get punctuation marks or bruises from the treatment.
6. I may feel rebound effects for the next day or two after the treatment.

I also understand that it is my responsibility to exercise regularly, eat right, and rest well for my physical and mental health.