Kwiet Karesser Massage & Stretch Intake Form
  • Kwiet Karesser Massage & Stretch Intake Form

    All information is held confidential. At no given point is information disclosed or shared without client’s written consent. @kwietkaresser_
    Kwiet Karesser Massage & Stretch Intake Form
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  • Health Information

  • Appointment

    * DEPOSIT has to be paid in order to book and confirm day & time
  • MASSAGE TYPE

    “Therapeutic (Swedish)- $100 ($50 deposit) “Therapeutic (Deep Tissue)- $100 ($50 dep) “Therapeutic (Sports)- $120 ($60 dep) ****Below services are for Women only!!!!!!!! Women can also book above services as well!!!! “Post-Op BBL (Lymphatic “no oil”)- $120 ($60 dep) “Sensual (I am shirtless & body to body)”- $200 ($100 deposit) *Additional $40 for 90-minutes *No personal sexual acts of any kind will be provided. If tried or asked by client you will forfeit your massage and full payment. *Ask for 4+ group rate
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  • All sessions include time for 5-Minute pre and post appointment consultation. 50-Minute hands on during 1-Hour service and 80-Minute hands on during 90-Minute services.
  • Reminder *deposit has to be paid in order to book and confirm day & time. Via cash app or zelle

    send via Zelle or cashapp
  • Client information are confidential and written authorization is required to release any information. We do not double book appointments Please reschedule session if more than 15 minutes late 24 hour cancellation notice is required  You will be draped and at no time be exposed You will have a consultation with your therapist to discuss the session You may end the session at any time for any reason Inappropriate behavior will not be tolerated and may be prosecuted to the full extent of the law Client Agreement: I understand that therapeutic massage therapy does not diagnose and heal illness, disease, any physical or mental disorder. I acknowledge that massage therapy is not a substitute for medical examination or diagnosis, and it is recommended that a physician be seen for that service. I understand that this treatment is designed to address the care and prevention of myofascial pain and dysfunction. I understand that at any time I feel pain or discomfort during the session, I will immediately inform my therapeutic massage therapist.  I have stated my pertinent medical conditions, and will update the massage therapist of any changes in my health status. By my electronic signature below, I agree to the massage policy and client agreement above. 

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