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Spa Boutique 2Go – NYC Spa & Massage
Massages, Facials, Skin Treatments & More in NYC
Spa Boutique 2Go - NYC Spa & MassageSpa Boutique 2Go - NYC Spa & Massage
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    • Respiratory Intake Form
    • Massage Intake Form
    • Acupuncture New Client Packet (print and fill out)
  • SHOP
  • Contact
  • BOOK ONLINE
  • Services
    • Massages
    • Boutique Skin
    • PCA Peels
    • Body Treatments
    • Weight Management
    • Enhancements
    • Spa Packages
    • Waxing
    • Laser Hair Removal
    • Lash Boutique
    • Acupuncture
  • Specials
  • Testimonials
  • About
  • More
    • Spa Policies
    • At-Home Massage
    • Buy Gift Certificates
    • Non Invasive Lipo
    • What is Laser Lipo?
    • FAQs
      • Yoni steaming herbal blends
      • Oxygen Infusion Facial
      • Far Infrared Heat- Jade Tourmaline – Negative Ions FAQ
      • Re-surface (Dermafrac)
  • Employment
  • Forms
    • New Safety Guidelines
    • Respiratory Intake Form
    • Massage Intake Form
    • Acupuncture New Client Packet (print and fill out)
  • SHOP
  • Contact

Massage Intake Form

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Step 1 of 2 - Personal Information

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  • The following information will be used to help plan safe and effective massage sessions. Please answer the questions to the best of your knowledge.
  • In order to plan a massage session that is safe and effective, I will need some general information about your medical history.
  • Draping will be used during the session – only the area being worked on will be uncovered. Clients under the age of 17 must be accompanied by a parent or legal guardian during the entire session. Informed written consent must be provided by parent or legal guardian for any client under the age of 17.
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abmp & pca 2

MWBE Certified = New York State certification as a minority and/or women-owned business enterprise

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