Offering Mental & Health Wellness Retreats Globally Heal Mind, Body and Soul Toggle NavigationHomeSpa ServicesSpa PackagesCovid 19 Safety About LRSLRS iBot LoginLRS Apply OnlineHomeSpa ServicesSpa PackagesCovid 19 Safety About LRSLRS iBot LoginLRS Apply Online Sensitive Area Consent Form (RMT) Name*Phone Number*Sensitive Areas to treat:*___Buttocks (gluteal muscles)___Chest Wall Muscles___Upper Inner Thigh(s)___Breast (s) (RMT has discussed if areola will be included and why)___ OtherConsent Ladies Retreat Spa Sensitive Area Consent Form: Consent for Assessment and Treatment of Sensitive Areas I, have requested assessment and/or treatment by Registered Massage Therapist (RMT) for treatment of the clinically relevant areas indicated above. The RMT has explained the following to me and I fully understand the proposed assessment and/or treatment: The nature of the assessment, including the clinical reason(s) for assessment of the above area(s) and the draping methods to be used The expected benefits of the assessment The potential risks of the assessment The potential side effects of the assessment That consent is voluntary That I can withdraw or alter my consent at any time. I voluntarily give my informed consent for the assessment and/or treatment as discussed and outlined above.Initial *Date Selector*Time Selector*This site uses Google reCAPTCHA technology to fight spam. Your use of reCAPTCHA is subject to Google's Privacy Policy and Terms of Service.SUBMITThank you! Your message was sent successfully. / PreviousNextPausePlayClose