Consultation Form

Client Information

Medical History

Do you have or have you had any of the following conditions? If yes, please select them:

Massage Preferences

Circle any specific area you would like the massage therapist to concentrate on during your session

Human body outlines for massage focus Head/Neck Shoulders/Upper Back

By submitting this form, I acknowledge that the purpose of massage therapy is to reduce stress, relieve muscle tension or spasms, and improve circulation. I understand that the massage therapist does not diagnose medical conditions, prescribe treatments, or perform spinal manipulations. I agree to communicate any changes in my health or condition to the therapist before each session.

Book Your Slot

*Please complete the consultation form on the left before finalizing your booking.

top