Consent, Liability, and Confidentiality Agreement

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Consent for Treatment
I consent to receive neuromuscular/manual therapy from Nicholas Porto at Firm Touch NYC. I affirm that I am of sound mind and body and not experiencing any acute medical or contagious conditions. I understand that this treatment involves deep therapeutic techniques and physical contact to address chronic pain, muscular imbalances, and tension. I may choose to remain clothed or undressed during my session, and my comfort and boundaries will be respected at all times. I certify that I have not been prohibited by a healthcare professional from receiving massage or manual therapy. I acknowledge that Firm Touch NYC does not diagnose, cure, or “fix” diseases, and I agree to consult a licensed healthcare provider for concerns beyond the scope of this practice.

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Liability 
I acknowledge that neuromuscular/manual therapy provided by Firm Touch NYC is intended to address muscular imbalances, tension, and chronic pain. I confirm that I have disclosed all relevant medical history, including pre-existing conditions, injuries, surgeries, and co-morbidities, to the best of my ability. I understand that failure to disclose such information may increase the risk of adverse effects, for which I release Nicholas Porto and Firm Touch NYC from liability. I understand that any therapy provided is at my discretion and that I assume full responsibility for my participation in treatment.

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Confidentiality and Privacy
I understand that all personal information shared with Firm Touch NYC is confidential and will be used solely for the purpose of providing therapy services. This includes intake forms, session notes, and any verbal or written communication. My information will not be disclosed to third parties without my written consent, except as required by law.

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Access to Records
I acknowledge that session notes may be shared with me electronically after each session. By receiving these notes via email, I accept responsibility for safeguarding the confidentiality of this information once it has been sent. I understand that I may request access to my records at any time.

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Final Agreement
By signing below, I affirm that I have read, understood, and agree to the terms outlined in this agreement, including consent for treatment, liability waiver, confidentiality, and access to records.