Client Intake Form

  • 1Personal Information
  • 2Massage Experience
  • 3Current Health
  • 4Health History
  • 5Agreement

Step 1: Personal Information

Step 2: Massage Experience

Step 3: Current Health

Step 4: Health History

Step 5: Agreement

It is my choice to receive massage therapy. I am aware of the benefits and risks of massage and give my consent for massage. I understand that there is no implied or state guarantee of success of effectiveness of individual techniques or series of appointments. I acknowledge that massage therapy is not a substitute for medical care, medical examination or diagnosis. I have state all medical conditions that I am aware of and will inform my practitioner of any changes in my health status. I will participate fully as a member of my healthcare team. I will make sound choices regarding my sessions' plan based upon the information provided by my massage therapist. I agree to participate in my own self-care programs and adhere to the plan we select. I agree to communicate with my practitioner any time I feel my well-being is being compromised. I expect my practitioner to provide safe and elective treatment to the best of his or her skills and knowledge.

Get in Touch

352.702.1420

605 W. Magnolia St.
Leesburg, FL 34748

MA 45897/MM 18595

For directions, please click on the button below.

Free street parking available for your convenience.

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Latest Blog Posts

Thursday, December 27, 2018

Think different about licensed massage therapy

{video local,lmt-mindset}

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Tuesday, July 17, 2018

Leesburg has changed and so have I

I recently moved back to Leesburg after living in Fort Lauderdale for the past six years.  An opportunity knocked to “come back” or as I liked to say “move forward” to Leesburg to begin a new practice. Because like Leesburg , I have evolved.  Leesburg has more business investment, new housing, and more people are now moving to the area from all over the country; needless to say, not quite how I left the small town in 2012.  I left, moved to a metropolitan city, and lived close to the ocean.  Big city living at its very best!  Thanks to those experiences, I’m not quite the same person who left in 2012.  I’ve have six more years  experience and worked with a community with all kinds of cultural backgrounds including athletes, young and old alike.  Because of the needs of my eclectic clientele, I’ve taken additional courses and have added cupping and more specific muscular therapy work. I’ve reconfigured my offering and related fees—keeping in mind that each client has different needs.  Whether it’s 30,50,75 or 90 minutes, we will work together for a different you.  This new fee schedule includes a no tipping policy. Yes, Leesburg has changed and so have I!

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