• This form should be used to request scheduling multiple massage appointments.  
  
  
• Staff will use the information provided to schedule appointments for you and then send you a schedule to approve.  
  
  
• Therapist schedules are provided so you can check if your preference of therapist may be available during your preferred times.  
  
  
• If you have questions, please indicate on the form that you would like a call back to discuss.  
  
  

**Submitting a scheduling request does not guarantee an appointment or a rescheduled appointment. While we make every effort to accommodate your preferences, appointment times and provider availability may change. We strongly encourage flexibility when selecting providers and times—requests limited to a single provider may be more difficult to fulfill, especially if that provider’s availability changes. Patients who are open to multiple providers and time options are more likely to be scheduled promptly. Thank you for your understanding and cooperation.**