I, the undersigned, declare that I am voluntarily requesting treatment due to my complaints.

I agree to inform the therapist (masseur/masseuse) prior to the start of the sessions about any previous illnesses, treatments, medications I am taking, as well as any changes in my health condition that may occur over time.I have read the annex listing the contraindications, acknowledge its contents, and have informed the therapist of any listed conditions that apply to me.

I consent to the use of my personal data provided above for the purpose of assessing my condition, follow-up, or scheduling appointments.

The therapist is bound by confidentiality and will handle all personal data and information obtained during conversations or treatments in a confidential manner. This obligation of confidentiality remains in effect even after the end of the therapy.

I understand that despite the greatest care, treatments may have undesirable effects, such as temporary muscle soreness, worsening of symptoms, etc.

I acknowledge and accept the risks associated with the treatment.

I also accept that if I am unable to attend a scheduled appointment and fail to notify the therapist at least 24 hours in advance, I am obliged to pay the full fee of the missed treatment within 3 calendar days. In the case of sudden illness or accident, cancellation on the morning of the appointment will be accepted.