Consultation Form


Please complete this form prior to your scheduled appointment with us.


Appointment Address

Appointment Date:

Your Name

Email Address

Contact number


Treatment(s) you would like to Reserve

Have you read our cancellation policy?Yes

Would you like to receive our Monthly Newsletter for exclusive offers, promotions, and updates?

Are you pregnant:

Allergies, Medication, or any Medical Information we should be aware of:

Additional Message

We would love to offer our services to anyone and everyone, however there are some basic physical requirements that our customers must meet. Our estheticians are not trained to handle mobility issues and unfortunately must refuse service if the customer cannot meet these requirements

-Table massages are done on our portable massage table with clothing removed. Please note some tables have a weight capacity. Please advise us if you are over 300LBS. Pregnant women please check with your doctor before booking a massage.

It is also understood that any illicit or sexually suggestive remarks or advances made by client (you) will result in termination of the session immediately and the client (you) are liable for payment of the entire scheduled appointment.