Appointment request -

First name and name *

First

Last

Telephone number *

E-mail *

Appointment for a session of *

Therapeutic massage 60 min.
Therapeutic massage 90 min.
Therapeutic massage 30 min. (ex. 1) neck, shoulders and back; 2) legs and feet; 3) abdomen, chest and arms)
Acupuncture (TCM) 60 min.

Preferred afternoon available (from 2:00pm)

Message (desired time)