Book an Appointment

Call Us Toll Free at 800-257-3351 to Schedule Your Personalized Treatment or

Fill out the below Client Intake Form and One of Our Friendly and Knowledgable Therapists Will Reach Out to You ASAP!

General Contact Information
Name *
Name
Phone *
Phone
Birth Date
Birth Date
We Like to Send Presents ;)
Referred By
Referred By
We'd love to say Thank You!
Emergency Contact Name *
Emergency Contact Name
Emergency Contact Phone Number *
Emergency Contact Phone Number
About Your Service
Date of Massage Requested *
Date of Massage Requested
Time of Massage Requested *
Time of Massage Requested
Address of Where Massage Will Be Performed? *
Address of Where Massage Will Be Performed?
Please Tell Us About Yourself
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CODE OF CONDUCT
Before receiving any services from Traveling Hands Company, it is essential that you read, agree to, and understand our policies below:
I am over 21 years old *
I understand that the massage given to me by Traveling Hands Company is for the purpose of stress reduction, pain reduction, relief from muscle tension, and increasing circulation. *
I understand that these massage services utilize cannabis oil. Although I will not feel “stoned” or experience any intoxicating effects, I acknowledge that I will refrain from operating a motor vehicle for two hours after my session ends. *
I understand that the massage therapist does not diagnose illness or disease and does not prescribe medical treatment or pharmaceuticals, nor are spinal manipulations part of massage therapy. *
I understand that massage therapy is not a substitute for medical care and that it is recommended that I work with my primary caregiver for any condition I may have. I have stated all my known medical conditions, recent surgeries, allergies, and medications, and I will keep the massage therapist updated on any changes. *
I understand that this is a professional service. I acknowledge that ANY sexual comments or advances will result in immediate termination of the massage. I will also be fully liable for the cost of the session. *
Everyone that works with Traveling Hands Company is a highly trained professional with many years of experience. As a result, their time is valuable. I understand that I will be charged a late cancellation fee of $50 for any cancellations with less than 24 hours notice. If the therapist has been dispatched to my location and I are not there, or cancel while the therapist is on the way, I will be billed and will be liable for the full amount of my service. *