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Please complete this waiver before your first appointment. This helps ensure your information is submitted correctly and allows your session to begin smoothly without delays.

I confirm that typing my full name below acts as my agreement to this waiver.

Appointment Date & Time
Month
Day
Year
Time
HoursMinutes
Service

Add By submitting this form, I confirm that the information I provided is accurate. I understand that massage therapy is not a substitute for medical treatment, diagnosis, or care from a licensed medical provider.

I agree to inform SWFL Massage Therapy of any medical conditions, injuries, allergies, pain, pregnancy, medications, or health concerns that may affect my session.

I understand that I am responsible for communicating any discomfort during the session and that I may stop the session at any time.

By completing this waiver, I acknowledge and accept the terms before receiving services.your text

Phone- (239) 202- 1022

Email- swflmassagetherapy@gmail.com

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Jlee Salon Suites Bonita, Unit 35Bonita Springs, FL

(239) 202-1022

SWFL Massage

Professional therapeutic massage in Bonita Springs, FL. Personalized sessions for pain relief, recovery, and relaxation.

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