Before your appointment...

Massage intake & consent form

First appointment with me?

If so, please download and complete this fillable PDF, then email to: jennleesuperstar@gmail.com

Troubleshooting tip: Depending on your desktop or mobile device, you may not be able to draw on the anatomy chart right away. 

 

Once you click on the icon above, be sure to click the download button or save to files. 

Click the pen icon to mark your problem areas with a circle or x. Or use sticky notes! 

If it's still problematic, try downloading Adobe Fill & Sign in your App Store.

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Jennifer Lee

204 Delaware Ave, Delmar, NY 12054

Hand Drawing

Massage Therapist

June 2, 2021

mom: 123-456-7890

x

too long ago

x

relieve chronic pain from an accident in 2004

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location 

Located on the Lower Level of Delmar Chiropractic Office at 204 Delaware Ave, Delmar, NY 12054.

You may use the side entrance labeled "Wellness Alliance." Handicap access and plenty of parking is available.

Please arrive 10 minutes early to your appointment in order to fill out intake/consent forms and settle in.

what to wear?

Wear or bring comfortable/workout clothing to accommodate different options to address your specific needs.

payment options

Save time and pay ahead! When you book your appointment online, you can pay via credit card or PayPal. If you choose to pay at the time of service, I accept cash, check, Venmo (@jennleesuperstar) or Zelle.

gratuity

Always appreciated and gratefully accepted; never required. 

There's not (yet) an option to add gratuity if you are paying online via credit card, but you can tip with a separate transaction via PayPal or Venmo. 

What if i need to reschedule/cancel?

Please reschedule with more than 24-hr advance notice if possible.

Clients having a cold, flu, fever or in active phase of illness are urged to cancel or reschedule their appointment and will not be charged.

Appointments canceled with less than 24 hours of scheduled time will be charged for the full amount of service.