Aurora Sky Massage: New Client Intake Form NEW Logo
  • Aurora Sky Massage

    5300 Sequioa Rd NW, Suite 104, Albuquerque, NM 87120

    505-355-8907  |   www.auroraskymassage.com   |   auroraskymassage@gmail.com

  • New Client Intake Form

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  • Medical History: If you have experienced any of the symptoms that is marked with an asterisk (*), please call Kelsey to discuss your medical history before booking an appointment; this is to ensure your safety and well-being. 

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  • Cancellation Policies

     

    100% Full Payment is required for the following conditions: 

    • No Show: If you do not show up for an appointment, you will be charged the full cost for the appointment. Payment is due before your next appointment.
    • Groupon Client(s), if you no-show for an appointment or do not cancel within our 24-hour policy, we reserve the right to redeem your voucher without your permission and you will lose your voucher.
    • Late Arrival: If you are late to your session you are welcome to receive whatever time is left in your appointment. Due to our tightly booked schedule, we are generally unable to extend your session beyond your original appointment time. Regardless of the length of the service actually given, you will be responsible for payment of the full service you scheduled. Please plan to arrive 10-15 minutes early for your appointment for your required health intake form.

     

    50% Payment is required for the following condition: 

    • Last-Minute Cancellation/Reschedule: Failure to cancel or reschedule your appointment at least 24 hours in advance will result in a charge of 50% of the scheduled appointment fee. Payment is due before your next appointment. 

     

  • Fragrance-Free Policy

    Aurora Sky Massage asks for all clients to refrain from wearing perfume, cologne, after-shave, scented lotions, body sprays or other similar "smelly" products on the day you visit Aurora Sky Massage.

    Synthetic chemicals found in scented products can trigger migraines and asthma attacks in our sensitive clients. 

  • Smoke-Free Policy

    Smokers are asked to please shower before your appointment and avoid smoking until after your appointment; this helps us avoid the smell of smoke in our office, which triggers migraines and asthma attacks in our most sensitive clients, especially children.

  • Good Hurt vs. Bad Hurt

    When you get a massage, you may experience "good hurt" and "bad hurt." It is important to understand the difference between "good hurt" and "bad hurt" because "bad hurt" needs to be avoided.

    "Bad hurt" is when you....

    • tense up
    • wince in pain
    • hold your breath
    • cringe
    • have the feeling you are trying to "push through" the pain.

    Bad Hurt will actually cause your whole body to be tense and when your body is tense, the muscle knots will not release. To have the best massage results, avoid "bad hurt" by telling your massage therapist right away, as soon as you feel the "bad hurt."

  • Sickness Policy

    Please reschedule your appointment as soon as you are aware of an infectious or contagious condition. 

    If you arrive for your appointment with symptoms of an illness, you will kindly be asked to reschedule your appointment to avoid the spread of germs. This protects are most susceptible loved ones - children, the elderly, & people with suppressed immune systems, like cancer patients. 

    If any of the following describes you, I kindly ask that you reschedule your appointment so we can prevent the spread of bugs: 

    • Fever or Chills
    • Vomiting or Diarrhea 
    • Runny Nose 
    • Sore Throat or Cough
    • You are currently taking an antibiotic. 
    • You have a skin infection like ringworm or athletes foot. 
    • You or someone in your direct care has a cold, sinus infection, or flu bug.
    • You or someone in your direct care has been diagnosed with influenza (the flu).

    Even if you are cancelling your appointment within the 24-hour notice period, the cancellation fee may be waived; the onset of symptoms doesn't always have great timing, right?

  • Special Consent for Massage of Chest Region

     

    Treatment of certain chest, neck, and back issues will be most effective when it is preceded by the relaxation of surrounding muscles, which includes the pectoralis major, pectoralis minor, and intercostal muscles in the chest region. 

    In order to achieve treatment goals, your therapist may deem it appropriate to work on muscle or connective tissue near or underneath breast/chest tissue. Your therapist will do their best to avoid breast tissue and minimize pressure.         

    Even if you consent to breast massage today you can choose not to receive it at any point of your treatment or limit the massage. You, the client, have the right to change consent at any time during a treatment .Please let your therapist know immediately if at any time treatment feels uncomfortable in any way.      

     

  • Special Consent for Massage of Inner Thighs, Gluteal Muscles (Buttocks), & Pelvic Floor

     What are these areas?

    • Inner thighs: adductor muscles
    • Buttocks: gluteal muscles, piriformis, upper and lateral sacrum
    • Pelvic floor: ischial tuberosity, sacrotuberous ligament, coccyx, lower sacrum

    Why work these areas?

    Many times, pain or discomfort in the lower back is due to issues with the muscles in the buttocks, inner thigh, and pelvic floor regions. 

    Client Education = Empowerment 

    In order to achieve treatment goals, your therapist may deem it appropriate to work on muscle or connective tissue in the inner thighs, buttocks, and pelvic floor regions.        

    The anal area and the genitals will always be draped (covered) and will not be touched.

    Even if you consent to massage in this area today, you can always choose not to receive it at any point of your treatment. You, the client, have the right to change consent at any time during a treatment. 

    Please let your therapist know immediately if at any time treatment feels uncomfortable in any way.      

     

  • Informed Consent

  • By typing my first name, last name, and providing my e-signature below, I am indicating the following: 

    1. I have read the New Client Intake Form for Aurora Sky Massage LLC in its entirety. 

    2. I fully understand all questions and information provided in the New Client Intake Form for Aurora Sky Massage LLC. 

    3. I have completed the New Client Intake Form for Aurora Sky Massage LLC accurately and to the best of my knowledge. 

    4. Any sexual harassment, innuendo or proposition will not be tolerated and is subject to immediate termination of your appointment and full payment will be enforced. If necessary the appropriate law enforcement will be notified and charges will be filed.

     

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