Awakening Spa Massage Health History Form

  • If you are experiencing any Covid-19 symptoms, or have been in contact with persons with virus in past 14 days, please cancel your appointment.

  • Contact Info

  • Tell us about yourself

  • Medical History

  • Optional Upgrades

  • Important Notes

  • Please silence all electronic devices and refrain from holding phone conversations. We appreciate you using your spa voice while visiting our facility.

    By clicking "Submit" below, you declare that all information provided on this form is complete and true to the best of your knowledge. Also, you understand and agree to release Awakening Spa and their respective officers, directors, shareholders and employees and waive any and all claims, liabilities, or damages for personal injuries that you may experience directly or indirectly from receiving spa related treatments, or utilizing the spa facilities.

  • This field is for validation purposes and should be left unchanged.