Layers Wellness & Spa
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Massage Intake Form

1 Contact Info
2 Massage Info
3 Medical History
4 Conditions
5 Consent
  • Contact Information

  • Date Format: DD slash MM slash YYYY
  • NamePhone 
  • Massage Safety Questions

    The following information will be used to help plan safe and effective massage sessions. Please answer the questions to best of your knowledge.
  • Medical History

    In order to plan a massage session that is safe and effective, please provide some general information about your medical history.
  • MedicationDosage 
  • Medical Contitions

    Please check any condition listed below that applies to you.
    Please explain any condition that you marked above with your massage practitioner prior to your session.
  • Consent

  • • I understand that the massage I receive is provided for the basic purpose of relaxation and relief of muscular tension. If I experience any pain or discomfort during the session, I will immediately inform the therapist so that the pressure and/or strokes may be adjusted to my level of comfort.
    • I understand that although massage can be therapeutic, it is not a substitute for medical examination, diagnosis, or treatment.
    • I affirm that I have stated all my known medical conditions and answered all questions honestly.
    • I agree to keep the therapist updated as to any changes in my medical profile.

    We require 12 hours notice to cancel or reschedule an appointment. Failure to do so will require a $50.00 no-show fee.

What people are saying about Layers

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Ashley

Hands down the best pedicures in Fort McMurray. The staff are so friendly and are overall amazing human beings!

Megan

I have had a few services here and loved them all! Thank you so much for the attention to detail and hospitality.

Marina

I have had the best massage and the best pedicure ever here. I left both feeling very relaxed. The spa is clean and everyone is very friendly. I will definitely be going here often!

Tina

I have used various services at Layers Wellness over the last few years. The service, friendliness, and professionalism they provide is hands down the best you’ll ever encounter.

Daniel

I love going to Layers for massages. I have had a few massage therapists and I have loved all of them. Booking is super simple and they direct bill to most insurances.

Sebastian

Amazing place to take care of yourself. Wonderful group of people. You literally feel like family going there. I highly recommend.

Norma

My favourite place to relax. Excellent customer service! I enjoy massages, manicures, pedicures… You truly are spoiled when you go there.

Cheryl

Absolutely the best place to spend some time with your friends! We had a group birthday pedicure spa afternoon service and we were treated like queens!

Terry

Amazing atmosphere! Always feel special when I walk into the door!

PH: 780.750.6888
OR 780.750.6848

EMAIL: INFO@LAYERSWELLNESS.COM
BOOKING: BOOKING@LAYERSWELLNESS.COM

UNIT #4 – 100 REAL MARTIN DRIVE
FORT MCMURRAY, AB T9K 2S1

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HOURS OF OPERATION
MONDAY TO FRIDAY 9AM – 8PM
SATURDAY 9AM – 5PM
SUNDAY 10AM – 5PM

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