The above information is accurate and true to the best of my knowledge. If there are any changes
in my current level of health, I will inform the practitioner of my condition. I understand that this
practitioner does not diagnose or treat illness or disease and does not prescribe medications.
I understand that close contact with people increases the risk of infection from Covid-19.
I acknowledge that I am aware of the risks involved and give consent to receive Fascial Stretch
Therapy from this practitioner. It is agreed that any claim of liability is hereby waived.