Request an Appointment

Tell us how we can bring wellness to your space.

Complete the form below to request an appointment. If approved, you will receive a private link to select your appointment time. Full payment is required to confirm the time reserved for you.

Contact Information

How should we contact you?

Full Name *

Phone Number *

Email Address *

Preferred Contact *

Service Location

Where would you like the massage service?

Service Type *

City *

Service Address *

Address verification is required for mobile service.

ZIP Code *

Apartment / Gate Code

Parking or Entry Instructions

Appointment Request

Choose your preferred service details.

Preferred Date *

Duration *

Massage Type *

Pressure Preference *

Light Medium Firm

Optional Add-On

Cupping Therapy +$10

Focus Areas or Special Requests

Location Preparation

Help us prepare for a safe home or office visit.

Space for a Massage Table? *

Pets at the Location? *

Will Anyone Else Be Present? *

Stairs at the Location? *

Agreement

Please review before submitting.

I understand that CLARYN WELLNESS provides professional therapeutic massage only. Inappropriate behavior will immediately end the session without a refund. I understand that submitting this form does not confirm an appointment. If my request is approved, full payment is required to confirm the appointment time reserved for me. I confirm that the information provided is accurate and complete. Cancellation & Refund Policy
Cancellations made at least 24 hours before the scheduled appointment are eligible for a refund, less any non-refundable payment processing fees. Cancellations made less than 24 hours before the scheduled appointment are non-refundable. SMS Notifications (Optional)
By checking this box, I agree to receive SMS messages from CLARYN WELLNESS regarding appointment requests, confirmations, rescheduling, cancellations, and customer service. Message frequency varies based on appointment activity. Message and data rates may apply. Reply STOP to opt out or HELP for help. Consent is not a condition of purchase or submitting an appointment request. See our SMS Terms & Conditions and Privacy Policy .

Electronic Signature *

Your appointment request will be securely submitted to CLARYN WELLNESS for review.