Massage Intake Form

All new clients for all services(except oncology massage.  See form below.) please fill out and bring to your first appointment or arrive 15 minutes early.

Covid-19 Screening Form

All new clients for all services please fill out and bring to your first appointment or arrive 15 minutes early.

Headache Assessment Form

(please fill out with massage intake for a Migraine Massage)

Oncology Intake Form

(please complete this instead of regular massage intake for oncology massage)

Minor Consent Form

(parents complete this along with regular massage intake and bring with minor to massage appointment)

Newark, DE               |               jesstrois@gmail.com                |       302-252-5781

Massage Establishment License #MZ-0000001     Delaware Massage Therapist License # MT-002672.     Copyright 2012. Balanced Body Massage.