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Client Intake Forms

You can print and fill out the appropriate intake form(s) so that you can bring them with you at your appointment! Be sure to review any contraindications on the form and if you must cancel, please let us know 24 hours in advance to avoid a cancellation fee.

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Intake forms are also available when you arrive. Please arrive 15 minutes prior to your appointment time to review and complete your form(s) so that you do not lose time in your session.

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*Please know that our Estheticians and Massage Therapists reserve the right to deny any treatment if they believe, in their professional opinion, that the treatment may be harmful to either the client or the therapist. 

Fill this out prior to your first Massage Appointment. Remember to update us on any health changes in the future!

Fill this out prior to your first Skincare (Facial) Appointment. Be SURE to let us know any medications you may be on!

Fill this out prior to your first Hydrafacial Appointment. Be SURE to let us know any medications you may be on!

Fill this out prior to your first Assisted Stretching Session. Wear comfortable athletic clothing and be sure to list any surgeries and let us know specific pain you are experiencing prior to appointment!

Fill this out prior to your first Cryo Appointment. Be SURE to let us know any medications, surgeries or injections you may have had. It is up to the discretion of your esthetician as to whether service can be performed on the day of your treatment.

Fill this out prior to your first IPL PhotoFacial Appointment. Be SURE to let us know any medications you may be on and remember, your skin can not be tan. It is up to the discretion of your esthetician as to whether service can be performed on the day of your treatment.

Print and complete this form before your first treatment. Be sure to read and complete the form carefully!

Print and complete this form before your first treatment. Be sure to read and complete the form carefully!

Print and complete this form before your first treatment. Be sure to read and complete the form carefully!

LaVida Gift Cards

Give the gift of relaxation!

LaVida Gift Cards can be used for all services* and products and are perfect for anyone you care about!
Pick up your gift card at the front desk, or below to print instantly online! 

* Sorry, gift cards cannot be used for gratuity or for discounted packages.

CONTACT US:

119 Terry Road

Smithtown, NY 11787

smithtown.ny@lavidamassage.com

Tel: 631-979-9000

Fax: 631-979-9002

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SERVICE HOURS:

Monday 10am - 9pm

Tuesday: 10am - 5pm

Wednesday: 10am - 9pm

Thursday: 9am - 9pm

Friday: 9am - 9pm

Saturday: 8:30am - 6pm

Sunday: 9am - 6pm 

© 2024 LaVida Massage of Smithtown

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