Purple Caterpillar Massage & Wellness

Intake Forms

The following forms are designed to help us work together more easily and are mandatory to complete prior to services:

  • Client Intake Form
  • General Liability Release
  • Policy Notification
  • Hot Stone Release (only if you will be receiving this during your session)

All forms can be emailed to Patrice@purplecaterpillarmassage.com. Please feel free to reach out with any questions or concerns. Thank you.

Client Intake Form

If you are a new client, please complete this form and email it to Patrice@purplecaterpillarmassage.com or have it with you to discuss before your session starts.

General Liability Release

To ensure your understanding of the services you will receive and rights to cancel at any time.

Policy Notification

Cancellation, Late Arrival, and Zero-Tolerance Policy

Hot Stone Release

If you will be receiving hot stones during your session, please complete the following form.

Intended Health Benefits Form

This form will help you clarify your goals for your overall health and vitality, including our time together.

Minor Liability Release Form

This form allows a parent or legal guardian to give permission to perform massage on a minor client.

Corporate Massage Contract

If you'd like to set up massage for your company as a one-day treat or as a recurring benefit, this contract lays out the details of our agreement.

Note: To download Adobe Acrobat Reader for free, click here.