Informed Consent

Massage Tucson, LLC

INFORMED CONSENT

SCOPE OF PRACTICE

Massage Tucson, LLC is operated by Bruno Loya (MT-28334) who is a licensed massage professional in the state of Arizona.

Massage Therapy is a profession in which the practitioner applies manual techniques, and may apply adjunctive therapies, with the intention of positively affecting the health and well-being of the client.

Licensed Massage Therapists do not diagnose or prescribe for medical conditions. Your massage therapist may refer you to a medical doctor for diagnosis or treatment. Our services are not intended as an alternative for proper medical attention for specific conditions. Please refer to a medical doctor for any specific condition which requires medical treatment.

CLIENT RIGHTS & RESPONSIBILITIES

The client has a right to prompt and professional service in an environment that is clean, private, and safe.

The client may choose to: leave on as much clothing as needed for comfort, refuse any massage methods, stop massage at any time for any reason.

Massage therapists are obligated to report information about the abuse of a child, elderly person, or mentally or physically challenged person. Massage therapists are also obligated to report plans or threats of self-harm or harm to another person to legal authorities.

RIGHT OF REFUSAL

Massage Tucson, LLC retains the right of refusal at any time. In certain situations, Massage Tucson, LLC will refuse to accept someone as a client and/or once the person is a client Massage Tucson, LLC may refuse the client a return visit.

Circumstances for refusal include but are not limited to: when a client is rude, loud, inappropriate, solicits the massage therapist for work outside of their scope of practice, and other conditions not listed that Massage Tucson, LLC see as unfit for a professional client relationship.

MASSAGE PROTOCOLS

You will immediately communicate with the massage therapist any time pain, discomfort, or feelings of unwellness during the session so they can adjust or stop the application of treatment.

Standard draping utilizing a sheet will be used for all massage sessions. Once you are undressed to your level of comfort and on the massage table, only the area of the body actively being worked on will be exposed. During the massage session, it is common for your body temperature to drop. Please let the massage therapist know if you require a blanket for comfort. Towel draping may be used at the request of the client. Genitals will remain covered at all times throughout the massage session. Areas that will not be addressed under any circumstance include: genitals, anus, nipples, and perineal area.

Pursuant to A.R.S. § 32-4203(A)(6), R4-15-103.1e, draping is required for all professional massage services.

Clients and massage therapists must refrain from any behavior sexual in nature. Sexual behavior from the client toward the therapist is inappropriate and will lead to immediate termination of the session, refusal of further service, and a formal complaint against the client to the Arizona State Board of Massage Therapy.

For clients with male anatomy: It is common for partial of full erection to occur during massage. Please note that this is a normal physiological response that will not impact our client-therapist relationship. If you become erect during the massage session, please do not feel embarrassed. While this will not impact the massage therapist's comfortability, you may request that the massage therapist provide you with an additional blanket, pillow, or drape if that will provide you with additional comfort.

For mobile massage services (at the client's location): You agree to provide a safe, clean, and uncluttered space for services to be rendered. You acknowledge that an unobstructed area of approximately 10' x 12' will be required to allow for setup of equipment and providing massage services. You also acknowledge that the space will be generally free from disturbances and interruptions from others. Furthermore, you agree to refrain from the use of any audio or video recording devices during the massage session, unless specific expressed consent is provided by Massage Tucson, LLC and Bruno Loya, LMT (MT-28334). By request, massage services may be provided in an outdoor location provided that the area is enclosed and private, and that weather permits according to the standards of the massage therapist.

SCHEDULING AND AVAILABILITY

Massage Tucson, LLC operates strictly by appointment. While we cannot accommodate walk-in clients, we are happy to accommodate last minute appointment requests as our schedule allows. Standard scheduling should be processed through our online booking page (https://www.mobilemassagetucson.com/book-online). If you are seeking same-day services and are unable to book an appointment online, please email contact.bruno.loya@gmail.com or call 520-400-3466 to schedule.

Flexible scheduling hours allow you to receive massage services at the times most convenient to you. Late night and early bird appointments are available from the hours of 8:00 PM to 8:00 AM. Only mobile massage appointments will be scheduled between 8:00 PM and 8:00 AM will be charged at the mobile massage rate.

TREATMENT FOR MINORS (UNDER 18 YEARS OF AGE)

With the permission of a legal guardian, minors are eligible to receive therapeutic massage services. The parent or legal guardian of the minor must provide explicit consent for services to be provided for their child. Any client under the age of 16 must be accompanied by a parent or guardian at all times during the treatment session.

After an initial consultation with the parent or guardian, a minor aged 16 years or older may be treated without a parent or guardian present with explicit legal permission of such documented prior to the appointment.

PAYMENT POLICY

Payment is due in full at the time of service. Acceptable methods of payment include cash, Zelle, PayPal, and CashApp. Massage Tucson, LLC will begin accepting credit card payments soon. Payment by check is not accepted.

By proceeding with your appointment and receiving massage services from Massage Tucson, LLC you are agreeing to pay the total cost of the service(s) you've received. Non-payment will result in forfeiture of any future business with Massage Tucson, LLC until the unpaid balance is settled. Any client with a non-payment history will be required to pre-pay for any future services.

NO-SHOW & LATE ARRIVAL POLICY

No-show clients will be charged the full cost of the scheduled service(s). The full cost of no-show bookings must be paid in-full before any future service(s) may be provided.

Clients who arrive late to their session may be asked to reschedule. Clients arriving late will still be charged the full cost for the service(s) booked, and the session will end promptly at the originally scheduled time.

CANCELLATION POLICY

Your therapy times are reserved exclusively for you. We value your business and ask that you respect scheduling policies. We also understand that unforeseen circumstances do occur. Should you need to cancel or reschedule, please notify us at least 24 hours in advance.

Cancellations within 24-hours of the scheduled appointment time are responsible for paying 50% of the total cost for service(s) booked. Cancellations within 3-hours of the scheduled appointment time are responsible for paying the total cost for service(s) booked.

Note: If you are sick or feeling unwell prior to your appointment, please contact your massage therapist and request to reschedule your appointment for a later date with no payment penalty. We appreciate you respecting your health and ours by not proceeding with your treatment session while you are ill.

REFUND POLICY

Due to the nature of services provided, no refunds will be provided for massage services rendered.

WAIVER OF LIABILITY AND RELEASE

It is my choice to receive massage therapy. I am aware of the benefits and risks of massage and give my consent for massage. I understand that there is no implied or stated guarantee of success of effectiveness of individual techniques or series of appointments. I acknowledge that massage therapy is not a substitute for medical care, medical examination or diagnosis. I have stated all medical conditions that I am aware of and will inform my practitioner of any changes in my health status. I understand that my personal health information will be collected. I understand that all information that I provide will be kept confidential unless required by law. I understand and consent that my medical information may be shared by the various care providers involved in my care and treatment.

Furthermore, I acknowledge that failure to inform the massage therapist of all medical conditions and medications may place you at increased risk for adverse reactions. Massage Tucson, LLC and Bruno Loya are not responsible for any adverse reactions to receiving massage therapy services if the client fails to disclose all relevant information regarding the client's health history, medical conditions, current diagnoses, past or present injuries, prescribed medications, non-prescription medications, recreational substances, or other relevant information. By proceeding with massage therapy services with Massage Tucson, LLC, you acknowledge that you will not withhold any information from your massage therapist that is relevant to the service(s) to be provided.

By signing up for a treatment session and completing this form, I acknowledge and consent to the aforementioned and release, forever discharge, hold harmless, and indemnify Massage Tucson, LLC and Bruno Loya, LMT (MT-28334) of any and from all claims, demands, liabilities, costs, damages, rights and causes of action of whatever kind of nature, arising from and by reason of any and all known and unknown, foreseen and unforeseen bodily and personal injuries, death, damage to property, and the consequences thereof, resulting from my participation in or in any way connected with or incidental to the massage therapy treatment.