Do I have to cover myself with a sheet or towel?

Yes. This is known as draping and in many cases is mandated by law. Once you are undressed and on the table under the top sheet and blanket, the therapist will only uncover the part of your body being worked on.
The genitals (women and men) and breasts (women) will not be uncovered. If the therapist is going to work on a woman’s abdomen, a second towel or sheet will be used to cover the breasts so the main sheet can be moved to expose the abdomen. Abdominal work is only done to address certain conditions, and is discussed with the client before the treatment begins.

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