Appointment Request Form

Contact Info

Name

First Name

Last Name

Email Address

Phone Number

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Massage Info

Is this your first massage at Melt?

Yes

Session Type

During the first phase of Melt’s reopening, we will only be scheduling 60-minute sessions. This will give your LMT the extra time they need to perform the increased sanitization procedures and comfortably get into the flow of their new massage protocols.

If you are using a gift card, specify the number below (or indicate if it says, "On Account")

If you don't have the number, let us know and we can try looking it up in our system.

When would you like to come in?

Any specific reason for booking a massage?

Therapist Preference

We have both male and female therapists at Melt, and hold all of them both personally and professionally in the highest esteem. We will always match you with the therapist that fits what you are looking for, so if you do have specific needs, please let us know.

Booking for or coming in with someone else? If yes, please fill out the fields below.

I'd like to come in with someone

I'm booking for someone

Their Name

First Name

Last Name

Their Email Address

So we can send them a link to the intake forms they need to fill out before visiting.

Their Phone Number

So we can call them the day before their appointment to conduct a short health screening.

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How'd you hear about us? (Not required, but always helpful for us to know.)

Anything else you want to tell us?