OPERATIONS SERVICE EXCELLENCE SINCE 2018
HR HEALTH FL LLC
LIMITED LIABILTY COMPANY
Licensed & InsuredImportant Notice to Clients
Full payment is required upon arrival prior to receiving service.
All service purchases are final and not eligible for refunds
The Massage Therapy Informed Consent Form
must be completed before any services are provided
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In today’s fast-paced world, stress, muscle tension, and physical strain can take a serious toll on both the body and mind. Our goal is to create a calm, welcoming environment where clients can restore balance, improve mobility, and experience meaningful relief through professional massage therapy.
With more than 20 years of licensed professional experience, our certified massage therapists specialize in personalized treatments designed to meet the unique needs of every client. Each session is carefully tailored to promote relaxation, reduce muscle tension, improve circulation, and support the body’s natural healing process.
Located in Orlando, Florida, ©™All Universal Day Spa & Massage is committed to delivering high-quality therapeutic care in a clean, safe, and professional environment. Our therapists stay current with advanced techniques and continuing education to ensure that every client receives effective, results-driven treatment.
We believe wellness is an essential part of a healthy life. Whether you are seeking relief from chronic tension, recovery from physical strain, or simply time to relax and recharge, our mission is to help you feel better, move better, and live better.
Sincerely Yours,
All Universal Day Spa & Massage Orlando,
Florida HR Health FL LLC
Last updated: June 29, 2024
Valid Notice Effective To January 01, 2038
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MASSAGE INFORMED CONSENT EXAMPLE
MASSAGE INFORMED CONSENT EXAMPLE IS NOT VALID AS USE FOR PRINT AS SUBMISSION TO INFORMED CONSENT
Please read carefully and sign where indicated:
1. I understand that massage or bodywork may be contraindicated for certain medical conditions or
symptoms. A referral from my physician or licensed health care provider may be necessary prior to service being
provided.
2. I further understand that massage or bodywork is provided for the purpose of relaxation and relief of
muscular tension. If I experience any pain or discomfort during my appointment, I will inform the
therapist so that the pressure or strokes may be adjusted accordingly.
3. I understand that massage or bodywork should not be perceived by me as a substitute for medical
examination, diagnosis, or treatment and that I should consult a physician, chiropractor, or other qualified medical
specialist for any mental or physical condition that I am aware of.
4. I have been informed that massage and bodywork therapists are not qualified to perform skeletal
adjustments, diagnose, prescribe, or treat any physical or mental illness, and that nothing said during the session should
be perceived as such.
5. I understand that our massage therapists are trained professionals. At all times I will adhere to state and ethical
compliant rules on draping and etiquette. Under professional guidelines our massage therapist employs full sheet
draping to protect client modesty.
The practitioner maintains the right to terminate a bodywork and massage session at will.
I understand that any remarks or actions of a sexual or personal nature will result in immediate termination of the session and that no future appointments will be allowed.
6. Because massage or bodywork should not be performed under certain medical conditions, I attest that I have stated
all my known medical conditions and answered all questions honestly. I accept and voluntarily assume all risks of injury,
damage, or harm which may arise during or as a result from my participation in massage or bodywork.
7. I understand that all session times include session time incements 20 30 60 90 120 180 in minutes of hands-on bodywork if I arrive on time to my appointment.
8. I understand that I am responsible to be on time for my appointments and that the therapist is not under any
obligation to extend my therapy session. I also agree that I am responsible to pay for the full time I have booked with the
therapist if I am late.
If I miss an appointment or am unable to give 24 hour-notice when I need to change my appointment,
I agree that my appointment time will be provisioned to the next available appointment client.
I understand that my appointment
will be considered a no-show if I arrive 15 minutes or more past the scheduled appointment time.
9. I represent I am at least 18 years of age and have read and understood this Informed Consent.
Client Signature:
__________________________Date:_______


Briefly explain any conditions mentioned above
________________________________________
By signing below, you agree to the following.
I have completed this form to the best of my ability and knowledge and
agree to inform my therapist if any of the above information changes at any time.
Client Signature _________________ Date ______