NEWS: Cupping Therapy

Top-rated Licensed Massage Therapists & Estheticians in West Plano, TX

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Minor Release
Form

All persons under the age of 18 are required to have a parent or guardian fill out the form "Minor Release Form". They must be accompanied by a parent or guardian and be attended to at all times.

Terms & Conditions

By signing below, I agree that I am the parent or legal guardian of the minor receiving treatment(s) at Swiss Heaven Spa. I understand that I am required to remain at the facility for the entirety of the minor’s treatment(s). For clients age 15 and under, the parent/guardian must always be present in the treatment room (The therapist or skin specialist may request that I remain in the treatment room to supervise all interactions even if the minor is 16 or 17). I will also be required, if needed, to assist the minor in preparing for his/her treatment(s).

I agree that I have completed the Intake Form and have informed the therapist or skin therapist of all medical diagnoses, symptoms, medications, and complaints associated with the minor receiving treatment(s).

I understand the scope of massage therapy and other spa services: They are not meant to diagnose, treat, or cure any conditions and are not a replacement for standard medical care. I give permission for my minor child to receive treatment(s) at Swiss Heaven Spa and agree to all the above terms.

About The Parent / Legal Guardian

First Name

Last Name

Gender

Other

Birthday

City of residence

Phone

Are you an existing Swiss Heaven Spa client?

Yes

About The Minor

First Name

Birthday

Last Name

Gender

Other

Age as of today

Signature

Please sign below

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North Texas Location Appointment required

Massage Therapist & Skin Care Specialist

3001 N Dallas Parkway, Plano, Texas 75093

Website: www.swissheavenspa.com

Email: contact@swissheavenspa.com

Phone: 305-922-7637

Professional massage therapy and skin care services. Serving customers from Broward & Palm Beach in South Florida and from Collin & Dallas in North Texas. Swiss, French & woman-owned small business.

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Licenses

MA93637 Massage Therapist

MT130680 LMT

FB9772600 Facial Specialist

BW18065 Body Wrapper

MM40091 Establishment

CE10020726 Establishment