Avoiding cross-contamination cannot be stressed enough. The exterior of the bottle containing lotion or oil should be cleaned with a germicide after each use. When using a cream, it should be applied with a disposable applicator or an applicator which can be cleaned with a germicide after each use. The table should be covered with vinyl or other material capable of being sanitized between clients or a barrier of paper protection used for each client. Many therapists like to use a sheepskin or other padding covered by a sheet. While this is great, the sheet is not a germ barrier. Either the sheepskin must be washed between clients or an appropriate germ barrier (a sheet of medical paper or plastic) used between the client’s sheet and the sheepskin. A better barrier than a sheet may be required by ordinance. Anything used for one client should be removed before the next client is allowed into the treatment room or area.

The licensing jurisdiction will probably require dirty linen be washed in water hot enough to kill germs. The county health department may have jurisdiction for this area as well. Even if a linen service is used, the clinic will have to have hot water for washing hands. Soiled linen should be in an enclosed, separate area. Clean linen should be stored in an enclosed cabinet or closet.

If you are providing drinking water or beverages, be certain it is in a disposable cup or individual unopened originally packaged container. Snacks should be individually wrapped to prevent cross contamination.

You should not work if ill. You may be contagious and transferred to the client, reducing chances the client will return. As we know, Repeat and referral business is, under most circumstances, the key to success in the massage and bodywork business. It is often difficult to hide the fact one is sick. At best, it is unattractive for the client to be worked on by a therapist who is coughing. It is not worth losing clients by practicing when ill. Clients who are ill should be invited to return when they are feeling better.

When opening a clinic, neighboring businesses should be examined. If the location is next to a factory, the air may be unhealthy. Noise pollution may also be a concern, as this can trigger migraine and other illnesses. Do not open next to a dog groomer, for example; the barking is not conducive to a peaceful setting. Check the area when local business are open and again in the evening so the worst case scenario is known. The area should be safe. Adequate evening lighting should be present. Walking paths ought to be in good repair.