Client Intake Form
The information collected in this form will be used only for the purpose of designing an appropriate massage therapy program for you and will not be disclosed to any third party without your consent.
In case of emergency, please notify:
By signing below, you agree to the following:
I have completed this form to the best of my ability and knowledge and agree to inform my Massage Therapist if any of the above information changes at any time.
We stand by our slogan “Your Great Massage Escape”, so let our workplace be your Great Escape from such a busy lifestyle.
Price and Services
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