Therapeutic Massage—Holistic
Pegah Samakar

Intake Forms

New Client Intake Form

If you are a new client, please complete this form and bring it along to your first session.

General Liability Release Form

This is a standard release of liability for our massage therapy work together.

Intended Health Benefits Form

This form will help you clarify your goals for your overall health and vitality, including our time together.

Minor Liability Release Form

This form allows a parent or legal guardian to give permission to perform massage on a minor client.

Corporate Massage Contract

If you'd like to set up massage for your company as a one-day treat or as a recurring benefit, this contract lays out the details of our agreement.

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