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Texas Administrative Code


 
TITLE 25 HEALTH SERVICES
PART 1 DEPARTMENT OF STATE HEALTH SERVICES
CHAPTER 141 MASSAGE THERAPISTS
SUBCHAPTER B CODE OF ETHICS

Rules

RULE §141.5 General Ethical Requirements

(a) A licensee shall not make deceptive, untrue, or fraudulent representations in the practice of massage or employ a trick or scheme in the practice of massage, including, but not limited to, warranty of results of such services and false claims of proficiency in any field.

(b) A licensee shall not use a work area, equipment or clothing that is unclean or unsanitary.

(c) A licensee shall not practice massage therapy fraudulently, with gross incompetence, with gross negligence on a particular occasion, or with negligence or incompetence on more than one occasion.

(d) A licensee shall bill clients or third parties for only those services actually rendered or as agreed to by mutual understanding at the beginning of services or as later modified by mutual agreement.

(e) For each client, a licensee shall keep accurate records of the dates of massage therapy services, types of massage therapy and billing information. Such records must be maintained for a minimum of two years.

(f) A licensee must obtain the written consent of a parent or guardian to provide massage therapy services to a person under the age of 17.

(g) On the written request of a client, a client's guardian, or a client's parent if the client is a under the age of 17, a licensee shall provide a written explanation of the charges for massage therapy services previously made on a bill or statement of the client. This requirement applies even if the charges are to be paid by a third party.

(h) A licensee shall provide an initial consultation to each client(s) prior to the first massage session and obtain the signature of the client on the consultation document. The consultation document shall include:

  (1) the type of massage techniques the licensee anticipates using during the massage therapy session;

  (2) the parts of the client's body that will be massaged or the areas of the client's body that will be avoided during the session, including indications and contraindications;

  (3) a statement that the licensee shall not engage in breast massage of female clients without the written consent of the client;

  (4) a statement that draping will be used during the session, unless otherwise agreed to by both the client and the licensee;

  (5) a statement that if uncomfortable for any reason, the client may ask the licensee to cease the massage and the licensee will end the massage session; and

  (6) the signature of both the client and the licensee.

(i) If the client's reason for seeking massage changes at any time and any of the information in subsection (h)(1) - (4) of this section is modified, the licensee must provide an updated consultation reflecting any changes and modifications to the techniques used or the parts of the client's body to be massaged.

(j) A licensee shall not abuse alcohol or drugs in any manner which detrimentally affects the provision of massage therapy or massage therapy instruction.

(k) A licensee may not persistently or flagrantly overcharge or over treat a client.

(l) A licensee shall not practice in an unlicensed massage establishment or massage school.

(m) A licensee shall not allow an unlicensed person to engage in activity for which licensure is required.

(n) A licensee shall not provide false information on material submitted to the department.

(o) A licensee shall not interfere with a department investigation by the willful misrepresentation of facts to the department or its authorized representative, or by the use of threats, retaliation, or harassment against any person.

(p) A licensee shall comply with any formal order issued by the department relating to the licensee.

(q) A licensee shall be subject to disciplinary action by the department if the licensee is issued a public letter of reprimand, is assessed a civil penalty by a court, or has an administrative penalty imposed by the attorney general's office under the Texas Code of Criminal Procedure, §56.31.

(r) A licensee shall notify each client of the name, mailing address, and telephone number of the department for the purpose of directing complaints to the department by providing notification:

  (1) on each written contract for services of a licensee;

  (2) on a sign prominently displayed in the primary place of business of each licensee;

  (3) on a bill for service provided by a licensee to a client or third party; or

  (4) by other written and documented method.

(s) A licensee shall keep his or her licensure file updated by notifying the department, in writing, of changes of names, address, telephone number and employment.

(t) A licensee shall be subject to disciplinary action for failure to truthfully respond in a manner that fully discloses all information in an honest, materially responsive, and timely manner to a complaint filed with or by the department.

 



 

RULE §141.6 Sexual Misconduct

(a) A licensee shall not engage in sexual contact during a session with a client. For the purposes of this section, sexual contact includes:

  (1) any touching of any part of the genitalia or anus;

  (2) any touching of the breasts of a female without the written consent of the female;

  (3) any offer or agreement to engage in any activity described in subsection (a)(1) or (2) of this section;

  (4) kissing without the consent of both persons;

  (5) deviate sexual intercourse, sexual contact, sexual intercourse, indecent exposure, sexual assault, prostitution, and promotion of prostitution as described in the Texas Penal Code, Chapters 21, 22, and 43, or any offer or agreement to engage in any such activities; or

  (6) any behavior, gestures, or expressions which may reasonably be interpreted as inappropriately seductive or sexual;

  (7) inappropriate sexual comments about or to a client, including making sexual comments about a person's body.

(b) A licensee shall not allow any individual, including a client, student, licensee, employee, or one's self to engage in sexual contact on the premises of any massage school, massage establishment, or the licensee's own place of business.

(c) A licensee shall not allow any individual, including a student, licensee, employee, or one's self to practice massage therapy or provide other massage therapy services in the nude, while partially nude, or in clothing designed to arouse or gratify the sexual desire of any individual.

(d) A licensee shall not perform massage therapy, whether or not for compensation, at or for a sexually oriented business.

(e) A licensee shall immediately discontinue the activity or the professional relationship when a client initiates any verbal or physical contact with the licensee that is intended to arouse or gratify the sexual desire of either person.


Source Note: The provisions of this §141.6 adopted to be effective March 19, 2001, 26 TexReg 2173; amended to be effective October 26, 2006, 31 TexReg 8672
 

 

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214-395-8000

 

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