Date *

Name *

First

Last

Phone Number *

Email *

Emergency Contact + Phone *

Are you local, part-time or visiting? *

Local
Part-time
Visiting

In which state is your primary residence?

Would you like to receive our bi-monthly newsletter?

Yes, keep me posted on monthly discounts, updates, workshops and retreats!
Not at this time

How did you hear about us? *

If other, please share!

Any current medications? Over the counter? Supplements? *

Are you currently under any medical supervision? *

If so, have you been cleared to receive therapeutic massage? *

Do you have any allergies, severe or otherwise? *

Oils, lotions, or topicals
Aromatherapy (essential oils or incense)
Other
No

If yes or other, please describe below. If no, write "N/A" *

Please list and provide dates for all symptoms, treated or untreated medical conditions, minor or major surgeries, and any record of health that will help us assess and provide the best treatment for you. Massage therapy is contraindicated for some medical conditions. By submitting this form, I agree to keep my medical history and medications list accurate and current in our database. *

Are you pregnant? *

Yes
No
Unsure

If yes, your treatment will be booked as Prenatal and specific protocols will be followed. Please describe your trimester, areas that need attention, aversions and any additional information that may be helpful for us to keep you feeling nurtured all the way through.

What sounds best for you? *

Pure tune out and bliss mode
A mix of relaxation and medium to deep work
Deep and specific work

Let us know how you're feeling in your body. Are there any specific areas that require more attention? Where do you feel pain, tension or discomfort? Please describe the sensation (electrical, sharp, shooting, aching, burning).

What's your current lifestyle like?

Sedentary at work and home
A good balance of activity/exercise
Always on the go

Do you make time for movement and exercise?

Nope, too much going on
Occasionally I take a class or hit the gym
I keep a pretty regular weekly schedule
I don't miss a day

Any other preferences worth knowing? We want you to enjoy a next level experience.

I understand that a valid credit card must be on file to complete my reservation. It will not be charged and is only used in accordance with our late cancellation and no-show policy. I can pay with cash, a different card or a gift card at the time of my service. For individual appointments, all late cancellations or appointment changes must be made at least 24 hours in advance. If I cancel within 24 hours or no-show an appointment, my card on file will be charged the full amount. If I am booking a group reservation, the late cancellation policy is 72 hours and the card on file will be charged for the full amount of all services booked. *

I acknowledge that therapeutic massage is provided for general wellness purposes, including stress reduction, relief from muscular tension or spasm, the promotion of circulation, lymph activity, and flexibility. I understand my massage therapist does not diagnose illness, disease, or any other physical or mental disorder. My therapist will not prescribe medical treatment or pharmaceuticals, nor do they perform any spinal manipulations. *

I understand that therapeutic massage is explicitly non-sexual and my therapist reserves the right to terminate a session at any time. In the event of a session ending due to client behavior, the card on file will be charged for the full amount of the treatment booked. *

I understand potential risks of massage include mild, short-term muscle soreness and mild surface level bruising. I am responsible for speaking up when my therapist checks in regarding pressure, temperature and overall comfort. My therapist always appreciates the opportunity to make adjustments and meet my needs to the best of their ability. I also always reserve the right to end the session at any time for any reason. *

By submitting this document, I hereby release my massage therapist, Maggie Valley Wellness Center, and any interested parties from all liability, claims, actions, damages, costs, or expenses of any kind. *

Signature *

First

Last

gail Urso

2023-10-18

Had a great Facial yesterday. Anna is a great estician. I will be back again. Thank you Anna.

Kayla Shuler

2023-10-15

I had a pumpkin peel facial here, and it was so worth it. So relaxing and refreshing. Anna cleaveland was super friendly and welcoming, I'll be back. Beautiful location, too, btw.

Kara C

2023-10-04

I was given a gift card for services here. I went for a 30-minute upper body massage. It was with Paige and was wonderful! The atmosphere is relaxing, and she asks about sensitivity to oils. Will definitely return!

Tino Metzger

2023-09-28

Atmosphere was nice, place is clean and most importantly, they offer deep tissue massages and other services. I had the deep tissue and felt great when I left

Donna Foster

2023-09-28

My massage was WONDERFUL! I will DEFINITELY be back

ken

2023-09-28

We usually try to get massages while on vacation. It was easy to schedule a couples massage at Maggie Valley Wellness Center. My wife said Danielle was one of the best masseuse's she has had. Mine was also excellent. Will go again if we visit Maggie Valley in the future.

Kelly Marie

2023-09-26

Anna did a fabulous job on my facial ~ she made me feel wholesome and pampered in every way! I highly recommend this wellness center, all of the staff were helpful, knowledgable, and had great vibes! Everyone deserves to experience the wonderful feeling from their wellness professionals.

Melanie Watkins-Patel

2023-09-23

Had the best 90 massage today with Erin! I was so relaxed when I left I could barely walk to the car 😁 Came home and took a long nap, feeling amazing! Thanks Erin!

april WS

2023-09-09

Facial was nice and relaxing

Tammy Garro

2023-08-28

My friend and I went for relaxation massages at Maggie Valley Wellness Center. We both had a wonderful massage and the staff was very kind. Highly recommend!

Call Us

+1-828-944-0288

Email Us

info@maggievalleywellness.com

Our Location

461 Moody Farm Rd, Maggie Valley, NC 28751

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