Chi Nei Tsang Health and Consent Form

Thank you for choosing to experience Chi Nei Tsang.

Chi Nei Tsang is a gentle yet deeply therapeutic abdominal massage that works to release physical, emotional and energetic tension held within the abdomen. The treatment supports digestive health, encourages relaxation and helps restore balance throughout the body.

Your comfort, safety and wellbeing are my highest priority. Before your treatment, please take a few moments to complete this waiver form honestly and to the best of your knowledge. The information you provide will help me tailor the session to your individual needs and ensure the treatment is both safe and appropriate for you.

If you have any questions or concerns before your session, please don't hesitate to ask. I want you to feel completely at ease throughout your experience.

I look forward to welcoming you and supporting you on your journey to greater health and wellbeing.

Participant Agreement

I have provided accurate and complete information about my health and medical history to the best of my knowledge.

• I understand that Chi Nei Tsang is a complementary therapy designed to support relaxation and overall wellbeing. It is not a substitute for medical diagnosis, treatment or advice from a qualified healthcare professional.

• I understand that I should consult my GP or other healthcare provider regarding any medical concerns or ongoing health conditions.

• I agree to inform my therapist of any changes to my health, medications or medical circumstances before each treatment.

• I understand that I may stop or ask to modify the treatment at any time if I experience discomfort or wish to do so.

• I consent to receiving Chi Nei Tsang treatment and understand that, while every care will be taken to ensure my comfort and safety, no specific outcomes or results can be guaranteed.

• I understand that my personal information will be treated confidentially and stored in accordance with applicable data protection legislation.

• I acknowledge that it is my responsibility to seek medical advice if I experience persistent, severe or unexplained symptoms, and that Chi Nei Tsang is intended to complement, not replace, conventional medical care.