Client Intake & Consent

Confidential

Please complete this once before your first visit. It helps me tailor your session safely — your massage, your skin, your comfort. Everything you share stays private between us.

About you

Full name

Phone(optional)

City(optional)

Birth year(optional)

This visit includes

Booked session(optional)

Health & skin intake

Health conditions(optional)

Allergies & sensitivities

Skin concerns

Pregnant or nursing

Preferred pressure(optional)

Are you on blood thinners?

Using RX topical creams?

Recent injuries or surgeries

Areas of focus or avoidance

What is your intention for our session today?(optional)

Consent

The information I've shared is accurate to the best of my knowledge, and I'll let Ashley know if anything changes before future sessions.I understand massage and skincare services are not a substitute for medical care, and I consent to treatment within the scope of Ashley's Florida licenses (MA81767 · FB9724947). I may ask questions or end the session at any time.I understand all sessions are strictly professional and therapeutic, with professional draping and privacy respected at all times.I've read and agree to the reservation and cancellation policy — a minimum of 24 hours' notice for changes or cancellations.I agree to provide payment in full at the time of service, in accordance with the agreed-upon session rate.I understand that services may be modified, paused, or concluded at the practitioner's professional discretion should concerns for safety, comfort, or therapeutic appropriateness arise.

Signature — type your full name

Your answers go directly and privately to Ashley — nowhere else.