I have listed the conditions and limitations of my child and will inform the therapist of any changes. I will be present for sessions and will tell the therapist if I feel that my child is experiencing discomfort because of the therapy. I understand that as a massage therapist, Cindy does not diagnose nor prescribe. I will consult with my child’s physician about any physical ailments that my child has. I consent to Cindy Bechard providing therapy that includes touching my child in a therapeutic and appropriate manner.