You will be contacted to confirm your requested appointment time. We may not be able to meet all requests. Are you new to our clinic? * Yes No If you are, welcome! Upon booking the appointment we will email you a health history to fill out and submit back to us. Should you be more comfortable with a paper copy, please arrive 15 minutes early to your massage at which time you can fill one out then. Name: * Email: * Phone: Service: Massage Laser Therapy Wellness Days Reflexology Ayurvedic Head Massage Thai Stem Massage Hot Stone Massage Thai Head Massage Select requested service(s). Massage Duration: 30 minutes 45 minutes 60 minutes 75 minutes 90 minutes How long would you like to book your massage for? Date: Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20152016201720182019 Select requested appointment date. Time: - Select -MorningAfternoonEvening Select requested appointment time. You will be contacted to confirm exact appointment time. Therapist: No Preference Karen Laura Jocelyn Rennie Stefanie Holly Alison Katie Request preferred therapist(s) (optional). Comments: Include any additional comments. Home page By submitting this form, you accept the Mollom privacy policy.