Massage & Wellness Intake Form

  • CLIENT INTAKE FORM

    We value your time and strive to provide you with the best possible service tailored to your needs. To help us understand how we can assist you better, please take a moment to fill out this client intake form. Your responses will give us crucial insights into your preferences, goals, and any specific requirements you may have. Rest assured, all information shared will be kept confidential and used solely to enhance your experience with us. Thank you for your cooperation and trust in our services.

  • "Based on our safety guidelines, we are unable to perform prenatal services for pregnancies under 13 weeks. Please contact us to reschedule for a later date."

  • *Please note that we DO NOT accept Insurance as a form of payment.

  • At Massage and Wellness, we’re dedicated to more than just hands-on services; we’re here to support your entire healthy lifestyle. To better understand how we can assist you, please take a moment to fill out the forms below.

    1. Lifestyle Habit Quiz: This quiz will provide insights into your overall happiness and highlight areas where you might need more support or guidance.

    2. Current Products and Services Survey: This survey will help us identify which products and services you currently use and where you can make healthier choices for a longer, more vibrant life.

  • Business Policies

    Cancellation Policy

    • If you arrive 15 minutes or later for a scheduled appointment the service provider has the right to refuse service or reduce the length of the service to ensure that their next scheduled appointment does not have to be pushed back. This rule also applies to HeadSpa appointments only allowing ten-minutes grace period

    We require a credit card on file to reserve your appointment. If you don't have your credit card on file you may only be allowed to come in on a walk-in basis if available.

    If you cannot make your appointment please call to reschedule or cancel at least 12 hours ahead of time. If you do not provide sufficient notice you may be charged up to the full amount of your scheduled service.

    Updating Personal Info & Client Intake Forms
    Ensuring your personal info and client intake forms are up-to-date is crucial for us to provide you with the best possible care and support at our massage and wellness center. Here's why it's important:

    1. Customized Care: Updated information allows us to tailor our services to your specific wellness needs and preferences, ensuring you receive the most beneficial and personalized care possible.

    2. Health Safety: Knowing your current health status, including any new injuries or conditions, is essential for us to adjust our techniques and approaches accordingly. This not only enhances the effectiveness of our services but also ensures your safety and well-being during each session.

    3.Efficient Service: With your latest information at our fingertips, we can streamline our processes, reducing waiting times and making each visit as smooth and enjoyable as possible for you.

    4. Regulatory Compliance: Keeping your records updated helps us stay compliant with health care regulations and privacy laws, ensuring your information is handled with the highest level of confidentiality and security.


    Updating your details and client intake forms is a simple process, but it plays a huge role in enhancing your experience with us. If you have any changes to your personal information or health status, please don't hesitate to inform our staff during your next visit or reach out to us through your preferred communication channel. Your wellness journey is our top priority, and keeping your records current is a key part of that journey.


    What if I Need to Reschedule or Cancel?
    When you're facing the need to reschedule or cancel your massage appointment with us, we understand that life can be unpredictable. Here's what you need to know to make the process as smooth and stress-free as possible:

    1. Rescheduling Your Appointment: If you find yourself needing to reschedule your massage appointment, we kindly ask that you do so at least 24 hours in advance. This can be done easily by contacting our support team directly through email, phone, or our website. We'll work with you to find a new time slot that fits perfectly into your schedule, ensuring you still receive the relaxation and therapeutic benefits of your massage without any hassle.

    2. Cancelling Your Appointment: Should you need to cancel your appointment, we also request a 24-a notice. You can cancel by reaching out to us via the same channels as mentioned above. This advance notice gives us the opportunity to offer your time slot to another client, ensuring our therapists' time is utilized efficiently.

    3. Last-Minute Changes: We understand that emergencies happen. In the case of a last-minute reschedule or cancellation (less than 24 hours before your appointment), please contact us as soon as possible. Well do our best to accommodate your needs, although please be advised that a cancelation fee may apply in some cases, as per our cancellation policy designed in fairness to our clients and therapists alike.

    4. Cancellation Policy & Fees: Our standard policy includes a cancellation fee for appointments canceled less than 24 hours in advance. This ensures that our therapists are compensated for their reserved time. The specific details of our cancellation fee are listed on our website and in your booking confirmation email for your reference.

  • Professional Code of Conduct or Respectful Boundaries Policy*


    Please Note: We are a professional massage and wellness center. Any inappropriate behavior, sexual remarks, or requests for illicit services (including "happy endings") will result in immediate termination of the session and may be reported.

    By signing below, you acknowledge and agree to uphold respectful conduct.

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