Client Consultation & Consent Form

First name

Last name

Email address

Phone

Date

Month

Day

Year

Medical & Skin Profile

Massage Pressure (Please select one):

Light (Gentle): Focus on relaxation and lymphatic flow.

Medium (Firm): A balance of relaxation and muscle tension release.

Deep (Strong): Intense focus on deep muscle knots and chronic tension.

Areas to focus on or avoid:

Customized Protocol Acknowledgment

I understand that my treatment (Facial or Body) will be customized using specific cleansers, exfoliants, masks, and massage techniques tailored to my unique skin type and current condition to optimize results.

Medical Release

I understand that spa treatments are for relaxation and wellness purposes and are not a substitute for medical examination or diagnosis. I have disclosed all health conditions accurately.

Media Consent (Optional)

I AGREE to allow Zen Spa Boutique to take photos/videos of my treatment for social media (respecting my privacy; no face shown).