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Divine Journey Intake Form

Below is the intake form to be filled out for first time services.

Please fill out the form and press submit when completed.

Complete and submit the form PRIOR to your session.

Divine Journey Intake Form

Date

Client Contact Information

Emergency Contact

Questionnaire

Have you had a massage before?
yes
no
Have you had energy work before?
yes
no
Do you exercise or play sports?

Client Medical History

Birthday
Choose any/all of the following you currently have or had in the previous 6 months. If none - select none
Are you currently taking any medication?
yes
no

Policies & Procedures

Cancellation Policy

We understand that life can be unpredictable, and plans may change. In order to provide the best service to all of our clients and honor the time set aside for your session, we kindly ask that you adhere to the following cancellation policy:

  1. Cancellation Notice: If you need to cancel or reschedule your appointment, please provide at least 24 hours' notice prior to your scheduled time.

  2. Late Cancellations: Cancellations made within less than 24 hours of the scheduled appointment will incur a cancellation fee of 50% of the total service cost. This fee will be charged to the card on file or must be paid before rescheduling.

  3. No Shows: Failure to show up for an appointment without prior notice will result in a charge of 100% of the total service cost. No further appointments can be scheduled until this fee is paid.

  4. Emergency Exceptions: We understand that emergencies happen. If you experience an unexpected situation that requires last-minute cancellation, please reach out to us as soon as possible, and we will handle it on a case-by-case basis.

By booking an appointment, you agree to adhere to this cancellation policy. Thank you for understanding and supporting the smooth operation of our practice.

Massage Therapy, Energy Work Service Agreement