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781-534-5100

853 Main Street. Suite 203. Tewksbury, MA, 01876

 

Waiver and Consent to Treatment

I understand that the massage given to me by Warm Palms Massage Therapy & Johnny Sim (LMT)” is for the purpose of (stress reduction, pain reduction, relief from muscle tension, increasing circulation, or specific reasons stated here).

 

I understand that the massage therapist does not diagnose illness or disease and does not prescribe medical treatment or pharmaceuticals, nor are spinal manipulations part of massage therapy.

 

I understand that massage therapy is not a substitute for medical care and that it is recommended that I work with my primary caregiver for any condition I may have.

 

I have stated all my known physical conditions and medications, and I will keep the massage therapist updated on any changes.

 

I hereby declare and certify that it is my own responsibility in taking part in a treatment session, and that I am an adult without any diseases or pathology that may prevent me from getting a massage. I have disclosed all relevant health information to my massage therapist, I understand that getting a massage while having a disease that hasn’t been disclosed is against my own benefit and would violate the agreement signed hereunder. I fully understand that Warm Palms Massage Therapy is not responsible for the potential problems with me during or after the treatment. With my present statement, I irrevocably sign claiming any damages against Warm Palms Massage Therapy-Warm Palms Massage Therapy will not be held liable for services provided.

Office Policies

Please be advised of the policies for this office. Your signature/booking signifies acceptance of these policies. A 24-hour notice is required for cancellation of an appointment, or you will be charged in full for the appointment. Payment is due before your next appointment.

 

Tardiness

Appointment times are as scheduled and cannot extend beyond the stated time to accommodate late arrivals. Please be on time to your appointment. If you do show up late you will only receive your remaining time until your scheduled end-time for your session. If you are more then 30 minutes over your booked time and do not plan on showing up to your appointment, you will be charged the full amount of your selected service fee. The payment method you provide will be charged.

 

Sickness

Massage/bodywork is not appropriate care for infectious or contagious illness. Please cancel your appointment as soon as you are aware of an infectious or contagious condition. We also do not encourage the spread of infectious disease or illness, if you are sick, stay home.

Hygiene

Please be courteous, if you are able to shower and freshen up before your massage, it is encouraged and appreciated. There is no wearing of shoes inside of the office and treatment rooms at all times, this is for cleanliness and  to help keep the space open and inviting for everyone to enjoy. Thanks.

Conduct

Under no circumstances shall acting inappropriately be tolerated. Client is to act in a respectful manner and not engage in any sexual misconduct or behavior at any time. This is a serious violation and will result in immediate termination of treatment session and the appropriate authorities and law enforcement will be notified.

Draping Policy

Warm Palms Massage and it's affiliates are businesses that are conducting high quality therapeutic service to clients seeking to better their lifestyle and health. We do so in a professional setting and respect client's individual space. Draping requests that are not appropriate or modest in the least will not be honored. There is a ZERO tolerance policy for such requests. It's imperative we make it clear that asking for draping outside of the normal boundaries to either expose yourself or cause a breach of professionalism will not be honored nor considered. We do not practice TOWEL-ONLY draping, we use full twin sheets and only expose the body areas that are being accessed to be worked on whether the client likes it or not. Should anyone make such requests and act inappropriately during their massage session, WPM and it's affiliates have a right to terminate your session and flag your customer profile to prevent future bookings - payment for your session will be due immediately and you will be asked to leave. WPM and it's affiliates want to emphasize this is a healthcare environment  and do not tolerate sexual misconduct or behavior at any time before appointment, during, and after. Thank you.

 

Release of Medical Records

Your signature/ online booking/ prepayment authorizes the release of all of your medical records on file in this office, for the purpose of processing your claims, to the following: your attorney, the healthcare providers attending to this condition, and the insurance case managers. Medical records will not be edited unless otherwise stated in an exclusive release of medical records signed through your attorney.

Offers and Promotions

Offers advertised whether in person or online are subject to change without notice, all offers will be honored within reason. In order for the most efficient use, client must adhere to policies and be in good standing - with no outstanding balances or unresolved issues.

Payments & Refunds

All payments can be submitted via the online scheduler in Massage Book, or in person at the Suite, All Major Credit or Debit cards are accepted. Cash payments are preferred must have exact change including gratuity we do not carry change. Please note that fee for financial transactions from applications and institutions such as CASHAPP and PAYPAL are also billed typically anywhere from 2% to 10% of fee. Client is responsible for total cost of services, gratuity, including said fees. If paying with Cash, please bring exact change, business does not store any cash on-site.

 

No Refunds. All Sales are Final including any retail products purchased by customer. 

Gratuity

Gratuity is greatly appreciated but never expected. Recommended Gratuity for service is 20% typically for this type of professional service industry.

Monthly Membership

Your entrance into an agreement for service is valid from the date of initiating membership until renewal, cancelation, or forfeiture. Warm Palms Massage's Three months, Six months, and 12 months memberships require a monthly payment (less gratuity)

Warm Palms will invoice you on the same day, whether it's the first of the month or the fifteenth of the month. Memberships entitles clients to a monthly service and must be scheduled every month, any unused portion of your membership will result in a forfeiture and losing out on assignment of benefits. Please see payments and refunds above. If you decide to end your membership - the remaining months due will be billed in accordance with your agreement.

Waiver

I fully understand that Warm Palms Massage Therapy is not responsible for the potential problems with me during or after the treatment. With my present statement, I irrevocably sign claiming any damages against Warm Palms Massage Therapy-  Warm Palms Massage Therapy will not be held liable for services provided. I also have read and agreed to all office policies stated herein, and understand that these office policies periodically are updated or can be changed at any time without notice to me. By booking an appointment for service and providing payment, I acknowledge that I am adhering to these governing office policies, terms and conditions.

This website is owned and operated by Mr. Sim . These Terms set forth the terms and conditions under which you may use our website and services as offered by us. This website offers visitors information about Therapy and access to Therapy by a qualified and licensed professional]. By accessing or using the website of our service, you approve that you have read, understood, and agree to be bound by these Terms.

In order to use our website and/or receive our services, you must be at least 18 years of age, or of the legal age of majority in your jurisdiction, and possess the legal authority, right and freedom to enter into these Terms as a binding agreement. You are not allowed to use this website and/or receive services if doing so is prohibited in your country or under any law or regulation applicable to you.

When buying an item, you agree that: (i) you are responsible for reading the full item listing before making a commitment to buy it: (ii) you enter into a legally binding contract to purchase an item when you commit to buy an item and you complete the check-out payment process.

The prices we charge for using our services / for our products are listed on the website. We reserve the right to change our prices for products displayed at any time, and to correct pricing errors that may inadvertently occur. Additional information about pricing and sales tax is available on the payments page.

We may, without prior notice, change the services; stop providing the services or any features of the services we offer; or create limits for the services. We may permanently or temporarily terminate or suspend access to the services without notice and liability for any reason, or for no reason.

The Service and all materials therein or transferred thereby, including, without limitation, software, images, text, graphics, logos, patents, trademarks, service marks, copyrights, photographs, audio, videos, music and all Intellectual Property Rights related thereto, are the exclusive property of [>>Mr. Simr<<]. Except as explicitly provided herein, nothing in these Terms shall be deemed to create a license in or under any such Intellectual Property Rights, and you agree not to sell, license, rent, modify, distribute, copy, reproduce, transmit, publicly display, publicly perform, publish, adapt, edit or create derivative works thereof.

You agree to indemnify and hold [Mr. Sim] harmless from any demands, loss, liability, claims or expenses (including attorneys’ fees), made against them by any third party due to, or arising out of, or in connection with your use of the website or any of the services offered on the website.

To the maximum extent permitted by applicable law, in no event shall [Mr. Sim], be liable for any indirect, punitive, incidental, special, consequential or exemplary damages, including without limitation, damages for loss of profits, goodwill, use, data or other intangible losses, arising out of or relating to the use of, or inability to use, the service.