Massages and Body Treatments

If you are receiving a massage or body treatment for the first time this year, please fill out this form and submit before your appointment.  Please fill in the portions relative to your services you are receiving in order to help us learn more about you and how we can make your experience the best it can be here at The Spa.

Spa Intake Form for Massages and Body Treatments

Would you like to hear about promotional services & Specials?
Active treatment or history of Cancer *
Recent Surgeries? (within the past 3 years) *
Are you Pregnant? *
Are you breast feeding?
Do you have specific areas that you would like your therapist to focus on?
Do you have any spinal problems?
Are you being treated for Diabetes?
Do you experience frequent headaches?
Area's of Concern
Body Treatment
Check if any currently apply