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Client screening form

Preferred Contact Method

Thanks for booking with me and jumping on this call. As I mentioned in my email, this call is an opportunity for me to introduce myself, go over a bit about my practice and what you can expect. It’s also an opportunity for me to ask you some questions to ensure you get the kind of appointment you’re looking for, and for you you to ask any questions you may have.


  • My practice is based in my home in Erie

    • Street parking in front of the house

    • A few steps to get into the doorway

    • Cats

  • My approach

    • Convo before and after for assessment and follow up care

    • Full table time - arrive a few minutes early when possible

    • Typical massage space, use hypoallergenic oil or lotion, draped and covered the entire time

    • Pressure - not full deep tissue - pain is NOT the goal

  • When you arrive

    • If the ‘in session’ sign is up on the door please wait on the front porch or in your vehicle - I don’t have a waiting area

  • Payment

    • Due immediately after service

    • No tipping

    • Can accept cash, card, Venmo, PayPal, ApplePay

How did you hear about me?
Which services have you had before?
  • Do you have any questions?

  • I will now confirm your booking request

    • You will get an email - check spam

    • Links for health history & office policies - fill out BEFORE appt

    • Email contains address

    • If you don’t receive email let me know ASAP

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