Layers Wellness & Spa
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Mobile Massage Intake Form

1Contact Info
2Home Info
3Insurance
  • Contact Information

  • MM slash DD slash YYYY
  • Home Info

  • Such as dogs or cats
  • NameSpecies 
  • If yes to any of the below, your pet must be contained in a separate room during your visit.
  • If yes, we ask that you please refrain from smoking in your home for at least 1 hour prior to your visit.
  • Please note, we will require a non-enclosed room close to the entrance/exit to your home, such as a living room, dining room, kitchen, den, office, etc. Space must be also large enough to accommodate a portable massage treatment table.
  • Insurance Coverage

  • We have a zero-tolerance policy for any form of verbal, physical or sexual harassment. We are also professionally obligated to refuse or discontinue treatment if we suspect that you may be under the influence of drugs or alcohol during your visit. In the instance of any form of harassment or drug or alcohol use, your visit will be terminated immediately, and no refund will be provided.

What our guests have to say

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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