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Intake & Consent Form


You may print the form below, fill it out prior to your apointment and bring with you on your first visit. You may also wait and fill out the form once you arrive at your first appointment. 


If you are under the age of 18, you must fill out the "Under 18 Consent Form."

Policies & Procedures


Cancellation Policy


  • 24 hour advance notice is required when canceling an appointment. This allows the opportunity for someone else to retain services. A FULL 24 hours is required.

  • Cancellations accepted by phone only. DO NOT send an email to cancel an appointment.

  • If you are unable to give a FULL 24 hours advance notice you will be charged the full amount of what would have been your treatment fee.

  • If a gift certificate is being used as payment for your appointment, and you fail to give a FULL 24 hour advance cancellation notice, your gift certificate will be null and void. 




Anyone who either forgets or consciously chooses to forgo their appointment for whatever reason will be considered a "no-show". They will be charged for their "missed" appointment and future service will be denied until payment is made.


Arriving Late


If you are not present for your scheduled session during the first 15 minutes (unless having telephoned you might be late), it will be construed that you are a "no-show". Depending upon how late you arrive, it will determine if there is enough time remaining to start a treatment and regardless of the length of the treatment actually given, you will be responsible for the "full" session.


Returned Check fee


There is a Returned Check fee of $30.


Contraindications (Situations where massage is not indicated)


Under certain medical conditions, massage/bodywork may not be advised, for example when a fever is present, indicating an infection. If a massage could be potentially harmful to a client's condition, the massage therapist has the right to decline to do the massage.


Please respect the professional boundaries that exist between therapist and client.


Thank You


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