Submit the completed form to the University of Northern Colorado Campus Recreation. You can email it to campusrec@unco.edu, fax it to (970) 351-1055, or deliver it in person to the Campus Recreation Center at 501 20th St, Greeley, CO 80639. Ensure all fields are accurately filled out, and required signatures are obtained. Keep a copy of the completed form for your records. Our advice is to carefully review all information before submission and follow up with the appropriate department if you have any questions.

Important dates vary by individual appointment and participation schedule. Ensure you provide a 24-hour notice for cancellations.

The purpose of this form is to inform participants about the benefits and risks associated with massage therapy. It ensures that participants acknowledge and consent to these terms before engaging in therapy. It also gathers necessary personal information and signatures to validate informed consent and facilitate communication with healthcare providers and insurance administrators.

• 1. Benefits: Outlines the general benefits of massage therapy, including stress reduction and relief from muscular tension.
• 2. Risks: Details the immediate physical risks associated with massage therapy, such as bodily discomfort and muscular tenderness.
• 3. Confidentiality and Release of Information: Explains the confidentiality of personal information and the conditions under which it may be released.
• 4. Informed Consent Statements: Includes statements that participants must read and acknowledge, emphasizing the limitations and conditions of massage therapy.
• 5. Cancellation Policy: Specifies the requirement of a 24-hour notice for cancellations to avoid charges.
• 6. Physical Injury Clause: Describes the procedure and financial responsibility in case of physical injury during therapy.
• 7. Signatures: Sections for the client, parent/legal guardian (if under 18), and massage therapist to sign and date the form.

Failure to submit this form may result in the inability to participate in the massage therapy program. It is crucial to complete and submit the form to ensure informed consent and proper documentation.

• Ineligibility for Massage Therapy: Without a signed consent form, you will not be allowed to participate in the massage therapy program.
• Lack of Documentation: Failure to submit the form means crucial personal information and acknowledgment of risks and benefits will not be documented.
• Insurance Issues: Ineligibility for insurance benefits coverage may arise if the consent form is not submitted.

• 1. Before Participating in Massage Therapy: Complete and submit the form prior to your first massage therapy session.
• 2. If You Have Known Heart Problems: Ensure you have a signed consent form from your healthcare provider on file.
• 3. For Insurance Purposes: Provide the form to the insurance administrator/carrier to determine eligibility for coverage.
• 4. If You Are Under 18: Obtain a parent or legal guardian's signature for consent.
• 5. In Case of Cancellation: Follow the 24-hour notice requirement to avoid charges.