Spa Intake Form

All information provided will be kept confidential.
  • The following information will be used to help plan safe and effective treatment sessions. Please answer the questions to the best of your knowledge.

  • By signing this release, I hereby waive and release my therapist from any and all liability, past, present, and future relating to massage therapy and bodywork.

  • Signature of Client
  • Signature of Client
  • This field is for validation purposes and should be left unchanged.