Massage Appointment and Contact

Please use the form below to request an appointment or submit a question.

Name*
First Last
Email*
Phone*
Subject: Massage Appointment
Is this your first massage with us?
- Yes
- No
Goals for this massage
Please describe how we can best help you with a massage.
Appointment Type*
Which type of appointment would you like?
Appointment Length
Please select the length of your appointment. Note Lomi Lomi massages are 75 minutes. Foot and Scalp massages are 45 minutes unless you request a longer appointment.
Date-1st choice
Please select 2 dates you would like for your massage. We will do our best to accommodate your first choice.
Date-2nd Choice
Time
Please provide a few time slots you would prefer.

: HH

MM
Time

: HH

MM
Do you have an addtional injury or medical condition you would like our therapist to know about? Please describe. *
Anything else?
Name
This field is for validation purposes and should be left unchanged.