Appointments

Name*

First Last

Phone*

What type of phone? (choose one)

Mobile
Home

Do you text?

Yes
No

Email*

Do you want to receive a quarterly e-newsletter with special offers, event updates, classes, or workshops? (you may unsubscribe at any time)

Yes
No

Basic availability for a session: M-F, between 10-4pm. Some weekend times are available, 1-4pm. Let me know a few dates and times that would work for you.

Length of Session

60-minute session
90-minute session

For first-time clients, please plan to spend an additional 15-20 minutes for an initial check-in and a small amount of paperwork. See the website menu for more information about rates for a 60 or 90 minute session.

Notes about your condition, or intentions for receiving bodywork at this time:

Accessibility: My massage-studio is located near 35th and Bloomington. There are several steps to reach the front door and the studio-room is located on the 2nd floor. If this would be difficult for you, please let me know, and I can book a different studio for our session.

Name

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Somatic Massage, Bodywork, and Movement Therapy by Malia Burkhart