Appointment request

Kindly complete the form below to request a session, noting that we are currently fully booked until 5/19.

*Submissions received during business hours will be answered (via email) in order of receipt, most within 1-3 hours. If you don't hear back, check your spam folder. *Current clients are given priority booking, due to limited availability. *Join our waiting list here: https://form.jotform.com/230476165759062
Your name

First NameLast Name
Your email address
example@example.com
Your cell phone number
Please enter a landline ONLY IF you do not have a mobile phone. We use mobile numbers in case same-day/last-minute communication is neededFormat: (000) 000-0000.
New clients only - how did you hear about us?

Other
Please write the name of the client, family member, or health care practitioner who referred you to our practice.
How long of an appointment are you looking for? (Check all that apply)
Which service(s) are you interested in booking?
Is there a specific practitioner you were hoping to see?
(Please visit www.bintouchmassage.com + click on "meet our therapists" to view which therapists are still accepting new clients.)
What days/time frames work for you? Check all that apply. (Please note - we do not offer evening appointments on Saturday/Sunday/Monday, and our evening/weekend schedule in general is limited).
When were you hoping to come in?
If a specific date or date range, please list it below:
(If not, skip down to the next question)
Anything else we should know about your schedule/availability?
(If not, skip down to the next question)
Which of our locations do you prefer? (Wellesley will be closed permanently after 6/12)
What else should we know?
Should be Empty:

Kindly complete the form below to request a session, noting that we are currently fully booked until 5/19.