In Take Form
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    Emergency Contact

    Check all that apply
    If you answer “Yes” to any of the following questions, please explain in the comments section below.
    From a scale from 1 to 10
    How do you like your pressure: 10 being very deep?
    ( Swedish 1-5   -   Deep 6 -10 )

    ​Informed consent: Please take a moment to carefully read the following. The above information is accurate to the best of my knowledge and I freely give my permission to be massaged. Since massage is contraindicated for some serious medical conditions,it may be necessary to obtain a doctor’s release or prescription before beginning therapy. I agree to inform the therapist of any experience of pain during the session. I understand that massage therapy should not be construed as a substitute for medical examination, diagnosis, and treatment, and that I should see a medical or chiropractic physician or other healthcare specialist. I agree to update the massage therapist in regard to changes in my health and understand that there shall be no liability on the therapist’s part should I forget to do so. 


    ​Cancellation Policy
    If for any reason you have to cancel please give us a 24 hour notice. A cancellation less than
    24 hours of your appointment or a no show will result in a $25 charge per person to your
    Credit Card or your Gift Certificate. Rescheduling with the 24 hours is also considered as a cancellation

    By submitting below I agree to the above terms and consent.
- Cancellation Policy -
 If for any reason you have to cancel or reschedule please give us a 24 hour notice via a phone call.
A cancellation less than 24 hours of your appointment or a no show will result in a charge of
$30  for the 1/2 hour and the 1 hour Massage. $45 for the 1 1/2 hour Massage. $60 for the 2 hour Massage
Per person to your Credit Card or your Gift Certificate. Rescheduling or moving an appointment with in the
24 hours is also considered as a cancellation. During Holiday months cancellation fee is full price of your session.
​Holiday months are as follows:  December, February, May.  If you booked online please call to cancel.
Eden Therapy & Massage 
704 749 8101
​2115 Southend Dr #101
​ Charlotte, NC 28203 
info@edentherapyandmassage.com
​
Hours of operation
​Mon - Fri     -    10am to 8pm         
Saturday    -     8am to 6pm            
Sunday     -    10am to 5:30pm
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