The privacy of your personal information is very important to us. We are committed to collecting, using and disclosing personal information responsibly and only to the extent necessary for the services we provide.
Like all health care professionals, we collect, use and disclose personal information in order to serve our clients. The primary purpose for collecting personal information is to provide treatment. We collect information about a clients health history, physical condition, and function in order to help us assess what their health needs are, to advise them of their options and then to provide the health care they choose to have.
We understand the importance of protecting personal information. Paper information is secured in a locked filing cabinet. We do have several LMTs at Neva Massage and Yoga Studio and as such your file may be shared amongst them.
We need to retain personal information for some time to ensure that we can answer any questions the client may have about the services provided and for our own accountability to external regulatory bodies. We keep our client files for a maximum of 2 yrs after last contact after which we will destroy paper files containing personal information by shredding. We destroy electronic information by deleting it, and when the hardware is discarded, we ensure the the hard drive is physically destroyed.
You can look at your information with only a few exceptions, you have the right to see what personal information we hold about you. We will also try to help you understand any information you do not understand. We will need to confirm your identity, if we do not know you, before providing you with access.
I understand that the massage therapy given to me is for the purpose of general health and wellness, relaxation, improved circulation, pain management, and other effects supported by experience and research. Massage therapy is performed here within the scope of practice of massage therapists in this state.
I understand that massage therapists do not diagnose medical conditions, nor do they prescribe medical treatments or medications, nor do they perform spinal manipulation or chiropractic adjustments.
I understand that massage therapy is not a substitute for examination by a medical provider and that it is recommended that I seek medical attention first for any illness, injury, or disorder that I might have.
I understand that massage therapy can be a valuable complement to health care provided by medical doctors, chiropractic physicians, practitioners of traditional Chinese medicine, psychiatrists and psychologists. I agree to keep my massage therapist informed of any medical treatment I am receiving with the understanding that it may impact the massage therapy I receive.
I understand that yoga includes physical movements as well as an opportunity for relaxation, stress re-education and relief of muscular tension. As is the case with any physical activity, the risk of injury, even serious or disabling, is always present and cannot be entirely eliminated. If I experience any pain or discomfort,I will listen to my body, discontinue the activity, and ask for support from the instructor. I will continue to breathe smoothly. I assume full responsibility for any and all damages, which may incur through participation.
Yoga is not a substitute for medical attention, examination, diagnosis or treatment. Yoga is not recommended and is not safe under certain medical conditions. By signing, I affirm that a licensed physician has verified my good health and physical condition to participate in such a fitness program. In addition, I will make the instructor aware of any medical conditions or physical limitations before class. If I am pregnant, become a pregnant or I am post-natal or post-surgical, my signature verifies that I have my physicians approval to participate. I also affirm that I alone am responsible to decide whether to practice yoga and participation is at my own risk.
I hereby agree to irrevocably release and waive any claims that I have now or may have hereafter against Neva Massage and Yoga Studio and it's instructors and Licensed massage therapists.
I have read and fully understand and agree to the above terms of this liability waiver agreement.