Any information provided will be held in strict confidence within the Solterra Desert Spa in adhering to the B.C. Privacy Act (2004). I certify that the information below is correct to the best of my knowledge. I will not hold Solterra Desert Spa or any of it's employees responsible for any errors or omissions that I may have made in the completion of this form. I agree to participate in the therapy(s) that I have requested, with the understanding that the treatment and care provided is for my own lifestyle guidance, personal health and relaxation. I understand that the masseuse is not a medical practioner, and I fully accept responsibility for insurance claims pertaining to massage treartments on extended health benefits.