Request Appointment | Om Massage

Do you suffer from any of the following?*

During your session if there is anything that could make your experience better, please tell your therapist so they can better serve you.*

Got it

Do you have insurance for naturopathy/naturotherapy?*

Yes

Not sure

Do you have any symptoms that could be related to COVID-19?*

Yes

Have you been in contact with anyone who has travelled outside of Canada or who may have been in contact with COVID-19 in the last 14 days?*

Yes

om massage membership

Memberships may be shared with friends and family;
Membership massages may be given as gifts;
Your insurance receipts will be given to you after each massage received;
Memberships are transferable but not refundable.

Pricing

$255

+ taxes

3 hours (save $10 per hour)

$480

+ taxes

6 hours (save $15 per hour)

Additional $30 for deep tissue massages.

Are you interested in a membership?

Yes

Maybe

I certify that the information included is correct and that I am ready to receive massage therapy or a naturotherapy treatment. We will contact you as soon as possible to follow up and schedule a session. Sessions must be cancelled within 24 hours or appointment must be charged.

By submitting this form via this web portal, you acknowledge and accept the risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By clicking "Submit" you agree to hold Om Massage Holistic Health harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.

registration

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