top of page
  • Linkedin
  • Black Facebook Icon

Confidential
Medical Form

Mindful Natural Solutions

Massage and Yoga Spa

Mobile and In-Spa/Clinic Treatments

Please complete the following Confidential Medical Information form and click submit once it is completed. This form is to help the Natural Health Practitioner to be able to provide you with the appropriate treatment as related to your health conditions as well as your related areas of concern.

Birthday
Month
Day
Year
HEALTH CONDITIONS: Please check if any of the following medical conditions apply to you?
Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.
Date
Month
Day
Year
In-Studio Massage

IN-STUDIO

Experience personalized care in a calm, private studio setting. We offer therapeutic massage, hydrotherapy treatments, and yoga sessions designed to relax the body, restore balance, and support overall well-being. Perfect for individuals seeking a quiet space to unwind, heal, and reconnect.

Corporate Wellness

CORPORATE

Bring wellness to the workplace with on-site yoga and fitness classes and mobile massage therapy designed to reduce stress, boost focus, and improve team morale. Our corporate sessions are professional, accessible, and tailored to meet the needs of busy teams — supporting a healthier, more productive work environment.

In-Suite Mobile Massage

MOBILE

Enjoy expert care wherever you are with our Mobile Holistic Massage and Yoga sessions. We bring the serenity and restorative power of a luxury spa directly to your home, office, or hotel, providing personalized sessions that relax the body, rejuvenate the mind, and restore balance.

bottom of page