Therapeutic Massage & Bodywork | Montgomery, AL | Hands On Healing

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Appointment Request Form

Appointment Request

Did someone refer you to Hands on Healing?

Yes

No

Is this your first professional massage?

Yes

No

First Name:

Last Name:

Email Address:

Phone Number:

Request a Therapist:

Anthony Allegro, LMT

Jacob Laputka, LMT

Carla Wall, LMT

Samantha Curtis, LMT

No Preference

Preferred Appointment Times

Please select atleast two (2) times that work for your availability. We will do our best to accommodate your needs.

Preferred Appointment 1:

Preferred Appointment 1:

Preferred Appointment 2:

Preferred Appointment 2:

Preferred Appointment 3:

Preferred Appointment 3:

I'm having problems with: check all that apply

Chronic Pain

Neck

Back

Legs

Head

Shoulder

Hips

Feet

Other

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Home
About
Massage
Bodywork & Manual Therapy
Beyond Massage
Blog
Appointment Options
Gift Cards
Contact

Phone
334-279-4263

Email

frontdesk@handsonhealingal.com

Address

6944 Vaughn Rd #A

Montgomery, AL 36116

Hours of Operation

Mon-Thu: 9am-7pm
Fri: 9am-6pm
Sat: 9am-3pm

*No Office Staff available on weekends.

DUNS Number: 17-599-1970

© 2024

All Rights Reserved | Hands on Healing, Inc.

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