CLIENT INTAKE FORM

MYST Wellness is committed to assisting each clent to achieve their personal goals of optimal health and well-being through the modalities off Asian/Western Massage, Myofasciai ReIease, and Energetic Balance using Reiki and Medical Qi Gong. Additional services incIude Private/group Yoga instruction and Personal training for fitness.

Payment Policy

It is our policy to require payment in full for the services provided at the time they are given, unless prior arrangements have been specifically made.  Payment is by cash or check

1hour = $150              1/2 hour = $85

Cancellation

Our office requires 24hr advance notice for cancelling an appointment.  If we do not receive notice of the cancellation within 24hrs, a $75 cancellation/no-show feel will be charged for that visit.  Emergencies are recognized and will be dealt with on an individual basis

Marital Status