Thank You For Booking​ With, Heavenly Hands Massage Therapy & Spa

First-time clients must complete our New Client Online Intake Form


Confidential  | Online New Client Intake 

This form must be completed before your scheduled appointment.

Please contact us if you have any questions (813) 447-5701

Heavenly Hands Massage Therapy & Spa*
Please list the name of the person, search engine, social media site, or physician.
Have you had a professional massage before?*
What type of massage pressure do you prefer?*
Are you pregnant?*
Please reschedule to an future date if you are less than 12 weeks pregnant
Do you bruise easily?*
Select your areas of pain*
Head/Neck Conditions*
Check all that apply
Cardiovascular Conditions *
Check all that apply
Respiratory Conditions*
Skin & Infection Conditions *
Nervous System *
Musculoskeletal Conditions *
Reproductive Conditions *
Other Conditions *
This site uses Google reCAPTCHA technology to fight spam. Your use of reCAPTCHA is subject to Google's Privacy Policy and Terms of Service.

Thank you! Your New Client Intake was sent successfully. Please bring your ID or Drivers License with you to your first appointment so we can verify your identity.