intake form

(A necessary ingredient)

Bow Tie Massage takes pride in making each massage session specific to each of our client's needs. 


In order to do that, you must complete our intake form.  Among other things, the form tells us if anything on your body hurts, what type of pressure you like, if you're on any medications, etc.  This is necessary in order to make sure that you are safe and your massage goes as smoothly as possible.


Additionally, we want to make sure that you've gone over our "Policies" before starting your session.  We also need your meal, dessert and drink order. 


So, please take a moment to complete our "Intake Form" to help us make this massage session as enjoyable as possible for you.


Thank you.   


our location

Bow Tie Massage

8050 Dexter Road,

Suite #103,

Cordova, TN 38016

Phone. 901-337-1140


"This form is NOT a reservation formThis is so that we can contact you to make your reservation. It helps to make the reservation process easier because it gives us much of the information that we'd ask for if you called. We will call you to get your deposit and to make your reservation as soon as we can. Thank you." 

This is not a reservation form.