Moore Sports Recovery

Call Us: (805) 295-5000
1851 Shell Beach Rd., Shell Beach, CA

Intake Form

Moore Massage requires all new customers to complete our Intake Form.
This helps your therapist prepare for your initial visit. Our Intake Form should only take a few minutes to complete.

This information will be held confidential.
Please don’t hesitate to call us at (617) 331-0152 with any questions.

Thank you!

Please read carefully and check the appropriate boxes:

Cancellation Policy:
First: “Late Cancel” or “No Show” – No Fee.
Second: “Late Cancel” or “No Show” – 25% fee of the original price of the missed appointment.
Third: “Late Cancel” or “No Show” – 50% fee of the original price of the missed appointment.
Any appointment following these occasions will be subject to a charge of the full fee of the missed appointment.
Groupon/Discounted Deals: Groupons (or other Discounted Deals) canceled with less then 24 hour notice are subject to be charged up to the full amount paid.

Billing & Credit Card:

Recommendation may be given by the Therapist with reference to future treatments, activities, occupational and sleep mechanics. The Therapist neither diagnoses illnesses, disease or any other physical or mental disorder, nor performs any spinal manipulations. At times, one may feel some post-therapy tenderness due to the manipulation and/or lengthening of connective tissue.

Consent to administer massage therapy services
Please enter your name. Doing so will be considered your electronic signature.
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