Client Intake Form

Please fill this out before your session.

Client Information

Full Name Phone Number Email Address

Health Information

Do you have any of the following?

High BP Heart Condition Diabetes Pregnancy Recent Surgery Back/Joint Pain Varicose Veins Skin Conditions

Current Medications / Other Notes:

Massage Preferences

Focus Areas (Check all that apply):

Neck Shoulders Back Legs/Feet

Areas to AVOID: Preferred Pressure:

Consent & Signature

I understand that Ovrile services are for relaxation and wellness and do not replace medical care. I confirm I have disclosed all health issues. I understand that no sexual services are offered, and any such request will terminate the session immediately.

I have read and agree to the above.

Digital Signature (Type Full Name)