Save an appointment

Easily book your appointment and take time to care for yourself.

Choose the most suitable therapy and preferred time, and we will take care of the rest. Our team will welcome you into a calm and comfortable environment designed for complete relaxation and recovery.

Take the first step toward greater balance, energy, and vitality

MASSAGE REGISTRATION CARD

Full Name: *

Phone Number: *

Email: *

Date of Visit:

PURPOSE OF THE MASSAGE Save an appointment

Please check the primary purpose of the treatment: *Relaxation and stress reductionRelief of muscle tensionBack painNeck and shoulder painSports recoveryImproved circulationLymphatic drainageReduction of swellingImproved mobilityOther purpose:

If the purpose of the massage is different, please describe it here:

HEALTH STATUS Save an appointment

Please check all applicable conditions:Past or Current Medical ConditionsHigh blood pressureLow blood pressureCardiovascular diseaseDiabetesVaricose veinsThrombosisEpilepsyAsthmaOsteoporosisArthritis / OsteoarthritisHerniated discScoliosisCancer / Oncological conditionSurgery within the last 12 monthsInjuries or fracturesAllergies to essential oilsSkin conditionsPregnancyOther medical conditions:

Other diseases description:

AREAS TO FOCUS ON

Please check the areas you would like the therapist to focus on:NeckShouldersUpper backMid backLower backGlutes / ButtocksThighsCalvesFeetArmsHandsHeadFaceAbdomenFull bodyAdditional Instructions:

Please describe if there are any additional instructions:

AREAS TO AVOID Save an appointment

NeckShouldersBackLower backArmsLegsAbdomenFaceOther:

Describe anything else you would like to avoid during the massage.

PREFERRED PRESSURE LEVEL Save an appointment

Very lightLightMediumFirmVery firm

DECLARATION AND CONSENT *I declare that the information I have provided is accurate and complete. I understand that massage therapy is not a medical treatment, and I am responsible for informing the therapist of any changes in my health condition.

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