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Aesthetics Client Intake Consent

I ,hereby consent to receive massage therapy services at Ikigai Energy, provided by the licensed massage therapist, Jodi Wilson, LMT, on the following terms and conditions:

I understand that massage therapy is a therapeutic treatment that involves the manipulation of soft tissues to promote relaxation, improve pain symptoms, improve circulation, and enhance overall well‑being.

I understand that massage therapy does not replace my primary care provider and is not intended to diagnose any conditions not previously discussed with my primary care provider.

I understand that the purpose of the massage therapy session is for therapeutic and/or relaxation purposes only. I have communicated my specific goals and concerns to the therapist, and I understand that the therapist will adjust the session accordingly.

I have provided accurate and complete information about my health history, including any medical conditions, medications, allergies, or injuries that may affect my ability to receive massage therapy safely. I understand that it is my responsibility to update the therapist of any changes in my medications, health conditions, injuries, or surgical intervention(s).

I understand that massage therapy may involve some level of discomfort or sensitivity, and I have the right to communicate my preferences and any discomfort during the session. I also understand that I may request modifications or discontinue the massage at any time.

I consent to the massage therapy treatment provided by Jodi Wilson, LMT at Ikigai Energy and understand the nature and purpose of the treatment.

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Cancellation Policy

I, understand and acknowledge the importance of adhering to the cancellation policy of Ikigai Energy to ensure efficient scheduling and respect for both my time and the Ikigai Energy's time. By signing below, I agree to the terms outlined in this policy.

I must provide a minimum of 24 hours’ notice if I need to cancel or reschedule my appointment. This enables Ikigai Energy to accommodate other clients and adjust schedules accordingly.

I understand that a "no-show" occurs when I miss an appointment without a minimum of 24 hour notice. In the event of a “no-show”, I acknowledge that I will be charged $100 cancellation fee. I also understand that future appointments may require prepayment to secure the reservation

I acknowledge that if I arrive late more than 15 minutes may be treated as a “no-show”, subject to the corresponding fee(s) outlined above.

I acknowledge that cancellations made within 24 hours of my appointment will be subject to a $100 cancellation fee