Massage Therapy
Consultation Form
(This form only needs to be filled out once unless updating information) 

CONTACT INFO

How did you hear about our services?
Have you ever had a professional massage?
Are you under the care of a medical doctor?
Please Check ALL that apply:
What body parts do you want the Massage Therapist to work on? (Unchecked items will NOT be included in this massage)
What is the goal of this massage?
Which Massage Therapist have you selected?
Do you have an appointment date yet?