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Silverside Massage

with Sean Smedley, LMT

DE: MT-0003155  PA: MSG005661 

 

North Wilmington DE 

Email:  sean@silversidemassage.com

Phone:  302-981-1755

 

Business Hrs:  By appointment only- refer to calendar

Silverside Massage - New Client Information

To schedule your first massage appointment in my home studio, please take the time to fill out some basic information on the form below.  Once you submit the form you will be able to make appointments online!

(All information is private and will not be distributed or shared with anyone.  You can unsubscribe at any time.)  

Intake Form

Questions:

 

1. How did you hear about Silverside Massage?  This field is required.

2. Do you have any allergies, recent injuries, contagious diseases, bleeding disorders or broken skin? If so please explain. This field is required.

Thanks for submitting!

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