Deep-Tissue Stretch Therapy™

To ensure that Ari is able to accommodate your preferred appointment times, we ask that you schedule with as much advance notice as possible.

PLEASE COMPLETE THIS (2 PART) INTAKE + WAIVER

Name

First Name

Last Name

Email

Phone

(###)

###

####

House-Call Address

All aspects of your bodywork session are customizable to your preferences, including pressure, lighting, music, and whether you wish to converse or enjoy the treatment in silence. Do you have a preference?

Have you ever received professional bodywork before? If so, what aspects of the session were most beneficial? If you discontinued, what led to that decision?

Are you allergic to any scents, such as lavender or peppermint essential oils? Are you currently taking any prescriptions, such as blood thinners?

For example, blood thinners may cause bruising

What brings you in for your session? Please describe any limitations, surgeries, or injuries you have experienced.

All appointments are reserved with payment at the time of scheduling.

I have read and understand that all appointments must be canceled at least 12 hours prior to the scheduled time. I acknowledge that I am responsible for 100% of the session fee if I cancel with less than 12 hours' notice.

please type name if you consent

COVID-19 MASK PREFERENCE:

I am VERY comfortable with NO MASKS.

I will be wearing a mask but don't mind if others do not.

I prefer ALL PARTIES to WEAR A MASK.

MY PREFERRED PAYMENT METHOD:

Paying with CASH? You are required to purchase a package (solo sessions cannot be CASH)

To ensure the smooth scheduling of your appointment, payment is kindly requested prior to your session. Please note that failure to complete payment in advance may result in the cancellation of your appointment. These policies are in place to protect the interests of both the service provider and valued clientele. We appreciate your understanding and cooperation.

(PLEASE ALLOW A 10 MINUTE LEEWAY FOR APPOINTMENT ARRIVAL TIME) If you consent, please type 'yes.'

Please note: For house-call sessions exceeding 20 minutes of travel time each way, a $25 travel surcharge will need to be applied.

MANDATORY WAIVER HERE

Deep-Tissue Stretch Therapy™

THANK YOU !