NEW CLIENT INTAKE FORM
An Angel’s Touch
5407 Basswood Blvd. Ste. 101
Fort Worth, TX 76137
Below please find 2 forms to be filled out before your first appointment with us. Please make sure they are filled out completely and signed before your appointment. This will prevent any unnecessary delays and enable us to service you in a prompt manner. If you have any voucher(s), gift certificates or coupons, please remember to print it out and bring it with you. If your voucher is on a phone, we can view it from there, however, you must arrive a few minutes early to allow time to find and upload your voucher. If your voucher is expired, you must print it out prior to coming. We will not be able to view it on your phone because it is expired. Other clients have been experiencing difficulties with the phone applications which has resulted in a significant delay for scheduled appointments. Therefore, if you can print it out, that would be best.
We would like to ask that you prepare before your appointment by making sure you have proper directions and consider the time of day and traffic conditions. So that we may give the best possible service you deserve, being on time for your appointment is crucial to you and others scheduled before and after you. In the event we are running behind and able to contact you, we will. We schedule our appointments with enough time in-between so this does not happen however; we cannot control the arrival of other clients before your appointment.
Please know that we will do our very best to alert you if there will be a delay.
We are located on the northeast corner of Basswood and Park Vista. We are located behind First Choice Emergency Facility which IS visible from the street. Also note that Basswood and Hightower are the same. You will see a large street sign for Hightower. Basswood is a very small sign.
We look forward to meeting and servicing you.
VERY IMPORTANT: If you are pregnant and in your first trimester, we cannot massage you. We do not do prenatal massage until your 2 trimester. If you are in your 2 trimester or further, we MUST have a note from your doctor stating he/she is “Permitting” you to have massage while pregnant. We will not see you without this note. Please inform us if you are expecting.
FYI: If you do not show for your appointment or cancel your appointment less than 24 hours prior to your appointment time, your voucher/prepaid visit/service may be forfeited. If you have a Groupon, Living Social or Urban Delight voucher and you are scheduled for an appointment after the expiration date, and need to cancel and reschedule you may do so for anadditional fee
(No exceptions). If you do not show for your appointment, your voucher/prepaid session may be forfeited and or the reservation fee of $25. will be charged. You may reschedule however, there will be an additional charge that must be prepaid at time of scheduling.
ILLNESS: If you are experiencing any type of infectious illness (i.e., cold, flu, sinus infection, etc.), please contact our office BEFORE your appointment to make sure you can be massaged. Some illnesses will worsen with massage. If you do not contact us prior to your appointment and arrive to your appointment ill, we may determine to cancel and reschedule your session. Your health is of the utmost importance to us and because we see many clients, we must also have their best interest and health considered. This also pertains to taking any kind of antibiotic.
WEATHER: An Angel’s Touch may find it necessary to cancel and reschedule appointments depending upon the unpredictable weather. We will always try and give you ample notice of cancellation. Please know that our first concern is the safety of you, our clients as well as our therapists. If we feel it is not safe,we will cancel and reschedule.
CHILDREN and GUESTS: Our facility is not equipped to accommodate children and or guests you may bring to wait for you while you are receiving your massage. Because of safety and liability reasons, we ask that you make other arrangements. We cannot allow children or others to wait while you are receiving your massage. We will not allow anyone else in the room while you are receiving your massage. The ONLY exception to this is if a minor is receiving a massage which in that circumstance, a parent or guardian must be in the room during the minor recieving their massage. We appreciate your understanding.
FORM BELOW MUST BE COMPLETED AND
SUBMITTED WITHIN 24 HOURS OF SCHEDULING YOUR APPOINTMENT OR YOUR APPOINTMENT WILL BE CANCELLED WITHOUT FURTHER NOTICE
Acknowledgment and authorization of Credit card charge and Pre authorization for
cancellation/did not show fee of An Angel's Touch Massage appointment.
Please type your name as it appears on the credit card given at time of sceduling.
This serves as a valid signature. Include last four numbers of credit card number used.
I acknowledge and agree that a $25.00 charge will apply to the credit card that I have given An Angel's Touch to reserve my appointment time. I understand and agree that if I give LESS than 24 hour notice or I do not show for my scheduled appointment, my card will be charged. I am also aware that ther will be a PRE authorization (not a charge) at the time of scheduling and that this PRE authorization will drop off once I show for my appointment.