Chair Massage Consent Form Template for Ireland

The Chair Massage Consent Form is a critical document required in Ireland for providing professional chair massage services in various settings, from corporate offices to public events. This document ensures compliance with Irish health and safety regulations, consumer protection laws, and EU data protection requirements (GDPR). It serves as both a legal protection mechanism and a health screening tool, gathering essential client information while establishing clear service parameters and liability limitations. The form is particularly important in the context of workplace wellness programs and public events where chair massage services are offered, requiring explicit informed consent and acknowledgment of potential risks and benefits.

1. Client Information: Details of the client including full name, contact information, and emergency contact

2. Therapist Information: Professional details of the massage therapist including name, qualifications, and registration numbers if applicable

3. Service Description: Brief description of chair massage service, including duration and general techniques to be used

4. Health Declaration: Client's confirmation of their current health status and any relevant medical conditions

5. Risks and Benefits: Statement of potential benefits and risks associated with chair massage

6. Client Acknowledgment: Client's confirmation that they understand the service and its implications

7. Consent Declaration: Explicit consent statement for the massage therapy and data processing

8. Liability Waiver: Standard liability limitations and client assumptions of risk

9. Data Protection Notice: GDPR-compliant explanation of how personal data will be processed and stored

10. Signatures: Space for client and therapist signatures with date