Please take a moment to carefully read the following information, sign and submit.

Informed Consent, Scope of Practice, and Liability Waiver

Services Provided

I understand that the services offered at Great Anatomy, Inc. may include, but are not limited to:

Massage & Manual Therapy: Manual manipulation of the soft tissues of the body, including muscles, connective tissue, fascia, tendons, ligaments, and non‑spinal joints, for the purposes of pain reduction, stress reduction, injury rehabilitation support, relief of muscle tension and soft‑tissue restrictions, increased circulation, and improved movement quality.

Neurokinetic Therapy® (NKT): A system of movement assessment and manual muscle testing used to identify and address neuromuscular imbalances, followed by corrective strategies that may include manual therapy and targeted exercises.

Posture, Alignment & Corrective Exercise Therapy: Therapeutic and corrective exercises, mobility work, strength training, and movement education designed to improve posture, alignment, neuromuscular coordination, functional movement, flexibility, and overall physical performance.

These services are intended to reduce pain and discomfort, improve function and movement efficiency, and enhance physical well‑being and wellness.

Practitioner Credentials & Scope of Practice

I understand that services are provided by Nesve Yayalar, owner of Great Anatomy, Inc., who holds certifications including Certified Massage Therapist (CAMTC), NCBTMB‑certified Massage Therapist, Certified Medical Massage Therapist, Certified Neurokinetic Therapy Practitioner, Certified Posture and Alignment Therapist, and Certified Personal Trainer.

I acknowledge that practitioners at Great Anatomy, Inc. operate within the legal scope of their training, certification, and licensure. While education and guidance related to general health, wellness, posture, movement, and exercise may be provided, practitioners:

Do not diagnose medical or mental health conditions
Do not prescribe medications or medical treatments
Do not perform spinal manipulations or chiropractic adjustments unless otherwise licensed and permitted by law

I understand that massage therapy, NKT, and corrective exercise are not substitutes for medical care and that I should consult a licensed physician or other qualified healthcare provider for any medical condition.

Risks and Benefits

I understand that massage therapy, manual therapy, Neurokinetic Therapy, and therapeutic exercise involve physical contact, movement, and exertion, and that participation carries inherent risks.

Potential Benefits May Include:

Reduced pain, tension, and stiffness
Improved mobility, posture, circulation, and movement quality
Decreased stress and improved body awareness
Enhanced functional performance and neuromuscular balance

Potential Risks May Include:

Temporary soreness, fatigue, or stiffness
Bruising or skin irritation
Lightheadedness or dizziness
Aggravation of existing symptoms
Muscle strains, joint irritation, or nerve sensitivity
Rare but serious adverse events, including injury or illness

I agree to immediately communicate any discomfort, pain, or concerns during or after a session.

Client Responsibilities

I affirm that I have disclosed all known medical conditions, injuries, medications, allergies, and relevant health information. I agree to keep my practitioner informed of any changes to my health status.

I understand that failure to provide accurate or updated information may increase the risk of injury, and I accept full responsibility for such risks.

I agree to follow instructions to the best of my ability, to participate voluntarily, and to report any unusual symptoms or concerns promptly.

Consent to Treatment

I voluntarily consent to receive massage therapy, Neurokinetic Therapy, posture and alignment therapy, and/or corrective and therapeutic exercise services from Great Anatomy, Inc.

I understand that I may withdraw or modify my consent at any time and that treatment approaches may be adjusted based on professional judgment and my response to care.

Assumption of Risk & Liability Release

I understand that participation in massage therapy, manual therapy, Neurokinetic Therapy, and corrective exercise involves inherent risks, including the risk of injury.

In consideration of my voluntary participation, I hereby release, waive, and discharge Great Anatomy, Inc., Nesve Yayalar, and their employees or contractors from any and all claims, demands, damages, or causes of action arising out of or related to my participation, except in cases of gross negligence or willful misconduct.

I knowingly and voluntarily assume full responsibility for any risks, injuries, or conditions that may occur now or in the future as a result of my participation.

Acknowledgment

I acknowledge that I have read and understood this Informed Consent, Scope of Practice, and Liability Waiver. I have had the opportunity to ask questions, and all questions have been answered to my satisfaction. I agree that no oral representations or guarantees have been made beyond what is stated in this written agreement.

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Office rules and regulations

1. Appointments & Bookings

Appointments may be scheduled via email, phone, or text message.

The initial appointment includes a discussion of your health history and a physical assessment and takes approximately 90–100 minutes. This allows for a full 90‑minute treatment session without time taken away for paperwork and assessment.

Your appointment arrival time will be agreed upon at the time of booking. Please arrive no more than 5 minutes early to allow the previous client time to exit and for the space to be cleaned and prepared. If you arrive earlier than scheduled, please wait on the patio.

2. Pricing & Payment

All clients are charged the prices listed on the website. No exceptions.

Payment is due in full following completion of your session. An invoice will be sent via email, and payment may be made online by credit card. Cash and personal checks are also accepted.

Frequent treatment refers to sessions scheduled on a weekly or bi‑weekly basis.

One‑time sessions (or appointments with more than 20 days between visits):

60‑minute session: $90
90‑minute session: $140

Initial Appointment: $170
Includes health history review and physical assessment and lasts approximately 90–100 minutes. This session is strongly recommended for individuals with chronic pain, injuries, or complex movement concerns.

3. Cancellation & Rescheduling Policy

No‑shows and last‑minute cancellations significantly impact the business and may prevent other clients from booking.

A minimum of 24 hours’ notice is required to cancel or reschedule an appointment. Cancellations may be made by email, phone, or text.

Appointments canceled with less than 24 hours’ notice or missed without notice may be charged in full.

4. Inappropriate Conduct Policy

Under no circumstances will sexual comments, sexual advances, aggressive language, threatening behavior, or inappropriate gestures be tolerated.

Any such behavior will result in immediate termination of the session, with full payment expected. All incidents of inappropriate conduct will be documented and reported to law enforcement when appropriate.

5. Health & Hygiene Practices

Health and hygiene are taken seriously and evaluated regularly at Great Anatomy, Inc. The therapy space is maintained as a clean and sanitary environment to protect both clients and practitioner.

All towels and linens are thoroughly washed in hot water between clients
Floors, surfaces, and door handles are cleaned daily
Massage oils and lotions are dispensed from pump or spray bottles

Clients are expected to follow any current health and safety protocols in place at the time of their appointment.

6. Gift Certificates

Gift certificates are non‑refundable and may not be exchanged for cash under any circumstances.

Gift certificates:

Are subject to the same cancellation and rescheduling policy
Expire 12 months from the date of purchase

Gift certificates may be purchased directly through the website.

7. Client Data Protection & Privacy

During the initial consultation, clients provide personal and health information to ensure safe and appropriate services.

All records are digitally recorded and stored securely with encryption and password protection.
No paper records are kept.
Client information is never shared with third parties.

8. Mobile Phones & Devices

Mobile phones and electronic devices must be silenced or turned off during sessions to maintain a quiet, focused, and therapeutic environment.