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Massage Consent Form

Massage Consent Form Template for New Zealand

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Key Requirements PROMPT example:

Massage Consent Form

"I need a Massage Consent Form for my new wellness clinic opening in Auckland in March 2025, with special emphasis on sports therapy treatments and injury rehabilitation protocols."

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Document background
The Massage Consent Form is a legally required document in New Zealand's healthcare and wellness sector, designed to protect both practitioners and clients while ensuring compliance with local regulations. This document is essential before providing any massage therapy services, whether in clinical, spa, or wellness settings. The form collects crucial health information, documents informed consent, and outlines treatment parameters while adhering to the Health and Disability Commissioner Act 1994 and Privacy Act 2020. It serves as a risk management tool and creates a clear record of client understanding and agreement to treatment terms.
Suggested Sections

1. Client Information: Basic personal and contact details of the client

2. Emergency Contact Details: Contact information for emergency situations

3. Health History: Client's relevant medical history, current conditions, and medications

4. Service Understanding: Description of massage service, techniques, and areas to be treated

5. Risks and Benefits: Disclosure of potential risks and expected benefits of massage therapy

6. Client Rights and Responsibilities: Statement of client rights and expectations during treatment

7. Privacy Statement: Information about how personal data will be collected, used, and protected

8. Consent Declaration: Formal statement of consent and client signature section

Optional Sections

1. Pregnancy Information: Additional section for pregnant clients, including trimester and any pregnancy-related conditions

2. Sport/Injury Specific Information: For clients seeking treatment for sports injuries or specific physical conditions

3. Photography Consent: Optional consent for before/after treatment photographs for clinical documentation

4. Insurance Information: For clients claiming massage therapy through health insurance

5. COVID-19 Screening: Temporary section for pandemic-related health screening and protocols

Suggested Schedules

1. Medical Conditions Checklist: Detailed checklist of medical conditions and contraindications

2. Treatment Areas Diagram: Body diagram for marking areas requiring attention or areas to avoid

3. Aftercare Instructions: Post-treatment care guidelines and recommendations

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Linkedin in social icon imageX social icon image
alex.den.21@genieai.co
Relevant Industries

Healthcare

Wellness and Spa

Sports and Recreation

Alternative Medicine

Physical Therapy

Medical Tourism

Hospitality

Corporate Wellness

Relevant Teams

Legal

Compliance

Operations

Client Services

Medical Records

Wellness

Quality Assurance

Risk Management

Healthcare Services

Administrative Services

Relevant Roles

Massage Therapist

Physical Therapist

Wellness Coordinator

Spa Manager

Healthcare Administrator

Sports Massage Therapist

Rehabilitation Specialist

Clinical Director

Compliance Officer

Medical Records Manager

Industries
Health and Disability Commissioner Act 1994: Establishes the Code of Health and Disability Services Consumers' Rights, which includes the right to informed consent and proper standards of care
Privacy Act 2020: Governs the collection, storage, and use of personal information, ensuring client data protection and confidentiality
Health Practitioners Competence Assurance Act 2003: Regulates health practitioners and ensures they meet professional standards of competence
Consumer Guarantees Act 1993: Ensures services are provided with reasonable care and skill, protecting consumer rights in service delivery
Health and Safety at Work Act 2015: Ensures workplace safety and proper health protocols are followed in the provision of massage services
Fair Trading Act 1986: Prohibits misleading and deceptive conduct in trade, ensuring accurate representation of massage services
Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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