Thank You For Booking​ With, Heavenly hands massage therapy & Spa

First-time clients must complete our New Client Online Intake & send a copy of their photo ID to our company's email address immediately after booking to verify their identity. You can complete both steps below. A Covid-19 Pre-screening questionnaire will be sent to your cell phone, the form must be completed 1 hour before your appointment, or your appointment will be cancelled, your temperature will also be taken with our contact-less thermometer, if your temperature is high, your appointment will be cancelled. Heavenly Hands will take multiple safety precautions to ensure your safety, such as contactless temperature checks, pre-screening questions, gloves during massage sessions, high-grade cleaning products, disposable massage face cradle covers, and use of masks. If you have any questions, call/text (813) 731-6111,    Thank you!

Click Here to Email a Copy of your I.D.

*MANDATORY SAFETY POLICY*

Confidential  | Online New Client Intake 

This form must be completed before your scheduled appointment.

Head/Neck Conditions
Check all that apply
Cardiovascular Conditions
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Respiratory Conditions
Skin & Infection Conditions
Nervous System
Musculoskeletal Conditions
Reproductive Conditions
Other Conditions
I hereby state that, to the best of my knowledge, my answers to the above questions are correct. I agree and consent to assessment and treatment. I understand that my personal health information will be collected. I understand that all information that I provide will be kept confidential unless required by law. I understand and consent that my medical information may be shared by the various care providers involved in my care and treatment. *
I understand that massage therapy is provided for stress reduction, relaxation, relief from muscular tension, and improvement of circulation and energy flow. If I experience pain or discomfort during the session, I will immediately inform my therapist so that pressure/strokes can be adjusted to my level of comfort. I will not hold my therapist or the company responsible for any pain or discomfort I experience during or after the session. I understand that the services offered today are not a substitute for medical care. I understand that my therapist is not qualified to perform spinal or skeletal adjustments, diagnose, prescribe, or treat physical or mental illness. I affirm that I have notified my therapist of all known medical conditions and injuries. I agree to inform the therapist of any changes in my health and medical condition. I understand that there shall be no liability on the company or therapist’s part should I forget to do so. I understand that massage is entirely therapeutic and non-sexual in nature. By signing this release, I hereby waive and release my therapist & Heavenly Hands Massage Therapy & Spa from any and all liability, past, present, and future relating to massage therapy and bodywork. I have received the policy statement, and have read and agree to the policies therein.
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