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First Name*
Last Name*
Email*
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Preferred Date*
Preferred Time*
121234567891011 0030 AMPM
Treatments* Select TreatmentRemedial MassageRemedial + Lymphatic MassagePregnancy Massage TherapyPregnancy + Lymphatic MassageHot Stone Therapy MassageLymphatic Drainage TherapyDeep Tissue Therapeutic MassageRelaxation Massage
Duration* Select Duration45 Minutes ($115)1 Hour ($135)75 Minutes ($165)90 Minutes ($195)2 Hours ($265)
Duration* Select Duration1 Hour ($175)75 Minutes ($210)90 Minutes ($245)120 Minutes ($315)
Duration* Select Duration1 Hour ($180)75 Minutes ($215)90 Minutes ($255)120 Minutes ($325)
Pregnancy Massage — How many weeks pregnant are you? Pregnancy massage is only available from 12 weeks onwards.
!
Please note: Pregnancy massage is only available from 12 weeks onwards.
We are unable to treat clients under 12 weeks pregnant.
Pregnancy Complications or Precautions*
Have you been advised of any pregnancy complications or precautions?
NoYes
Please provide brief details:
Duration* Select Duration45 Minutes ($110)1 Hour ($125)75 Minutes ($155)90 Minutes ($185)2 Hours ($255)
Duration* Select Duration1 Hour ($115)75 Minutes ($145)90 Minutes ($175)2 Hours ($230)
Duration* Select Duration1 Hour ($155)75 Minutes ($185)90 Minutes ($210)2 Hours ($295)
Duration* Select Duration1 Hour ($145)75 Minutes ($175)90 Minutes ($205)2 Hours ($270)
Duration* Select Duration1 Hour ($150)75 Minutes ($185)90 Minutes ($215)2 Hours ($285)
I confirm I do not have any medical condition that would prevent me from receiving Lymphatic Drainage Therapy, or I have obtained medical clearance.
Main Treatment Concern*
Swelling / fluid retentionSwollen feet / anklesHeavy / tired legsSwollen handsLower back / hip discomfortNeck / shoulder tensionGeneral pregnancy achesRelaxation / wellbeingOther
Additional Information (Optional)
i
Only Remedial Massage, Pregnancy Massage Therapy, and Lymphatic Drainage Therapy may be eligible for private health fund claiming, depending on your fund and level of cover.
Deep Tissue, Relaxation, and Hot Stone Massage are not claimable.
Note:
Minimum of 24 hours-notice required for cancellations / reschedule
No show or cancelling/rescheduling within 2 hours of the treatment time will result in 100% of the treatments cost.
Bookings confirmed once reviewed and approved by the Essen Remedial team.
Public Holiday Surcharge: 10% applies to all treatments on public holidays.
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