ID verification:

Proof of identification is required for first time visitors.

INFORMED CONSENT

I voluntarily consent to receive massage therapy services from Healing Touch By Tasha. I

understand that massage therapy is provided for relaxation, stress reduction, pain relief, lymphatic support, and general wellness purposes only.

I understand that:

•Massage therapy is not medical treatment

• No diagnosis or guarantees are made

• Massage does not replace care from a licensed medical provider

I agree to communicate any discomfort, pain, or concerns during the session and

understand that I may stop the session at any time.

Packages:

Packages are non-refundable, valid for six months, and revert to the single-session rate if partially used. Extensions are granted at the owner’s discretion.

Arrival & Parking:

5444 Yolanda Ave, Suite 107, Tarzana, CA 91356. Underground parking near Logix Credit Union. Free up to 1.5 hours. No parking validation. Arrive 15 minutes early.

Cancellations & Lateness:

24-hour notice required. Late cancellations or no-shows are charged 50%. Arrivals over 15 minutes late forfeit the session. Repeated issues require full payment upfront.

Travel Fee:

Mobile service includes a $50 travel fee within 30 miles plus $2.30 per additional mile.

Health Disclosure:

I certify that I have disclosed all relevant medical conditions, surgeries, medications, and health concerns. I understand that failure to disclose accurate information may increase my risk of injury or adverse reaction, and | accept full responsibility for such outcomes.

COVID-19 Acknowledgment & Assumption of Risk:

I confirm that I am not currently experiencing COVID-19 symptoms, have not tested positive, and have not knowingly been exposed to COVID-19 within the past 14 days.

I understand that participation in in-person services involves an inherent risk of exposure to infectious illnesses, including COVID-19, and I voluntarily assume this risk. I hereby release Healing Touch By Tasha from liability related to exposure to infectious diseases.

Audio Recording Notice:

I acknowledge and consent that the treatment room may be audio recorded for safety, quality assurance, and business protection purposes. Recordings are not used publicly.

CLIENTS ACKNOWLEDGMENT

By signing below, I confirm that the information provided above is accurate and complete to best of my knowledge.

MEDIA CONSENT:

This section applies only to booked lymphatic drainage treatments, including post-operative lymphatic massage and abdominal lymphatic massage (stomach area only).

I acknowledge and agree that before-and-after photos or videos may be taken for documentation, educational, or marketing purposes. Images will not include my face, identifying features, scars, or tattoos. All media will be used strictly in a professional manner.

INTAKE/CONSENT FORM (MASSAGE)

HEALTH HISTORY

MASSAGE EXPERIENCE:

Mobile Service: