Please Answer the Questions Below:
CONSENT FOR TREATMENT
I affirm that I have stated all my medical conditions and medications. I have answered all the questions honestly. I agree to indemnify, and hold harmless Spa Therapy Wellness Center and Therapist(s) from and against any and all claims, demands, loss or liability of every nature, for injuries to person and/or property. I agree to keep Spa Therapy updated in the event that my medical condition changes. You will be requested to update your health information record every two (2) years. I consent to care by Spa Therapy professional staff and have read and understand consents that apply to my service.
If I fail to keep an appointment by neglecting to cancel my appointment with 24 hours, I will pay Spa Therapy 100% of the fee for the missed appointment. I acknowledge that I am ultimately responsible for payment in full for all services, whether billing is performed or not. I am of lawful age and have read and fully understand the consents of this document and the complete terms and conditions between parties and no other guarantees or refunds will be given on products or services.