RMS Intake Form – Refresh Spa at Grand Timber Lodge

Name*

First Last

Email*

Phone*

Have you had any of the following symptoms within the last 72 hours?

Fever/Chills
Shortness of Breath/Difficulty Breathing
Congestion or Runny Nose
Dry Cough
Sore Throat
Loss of Taste or Smell
Fatigue
Nausea
Rash: Open Wounds; Warts (Hands/Feet)

I will keep my face covered for the duration of the service and in indoor areas open to the general public whenever six feet of separation cannot be maintained.*

I agree

Refresh Massage Studio Services

REQUEST AN APPOINTMENT

970-547-3624

REFRESH MASSAGE STUDIO

AT GRAND TIMBER LODGE