Name/ Nombe
First Name
Last Name
Phone Number/ Numero de telefono
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
What procedure are you getting ?
Surgery Date
-
Month
-
Day
Year
Date
Please provide your surgeon and surgery center name
Address where you’re staying during recovery
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
POST OP MASSAGES | available alone or as an add on. Full payment for massages is due at 1st massage. Deposit is $50. Deposit can be sent Apple Pay or Payment link. Remaining balance must be paid Cash or Apple Pay. DO NOT SEND FORM WITHOUT DEPOSIT
1 massage $120 ( 1 masaje)
2 massages $220( 2 masajes)
3 massages $300(3 masaje)
4 massages $388(4 masaje)
5 massages $488 ( 5 masaje)
6 massages $588 (6masaje)
7 massages $ 688 (7masaje
8 massages $800(8masaje)
10 massages $1050
Faja Wash and assistant with shower $65
Faja Wash $50
Taping Method $35 with massage
Post op recovery ❤️🩹 bag $250
KEEPING IT Simple care
2-Hour care with transportation $350($60 deposit)
4-Hour care with transportation $550 ($100 deposit)
What Post Op Care Includes: Pick up from Surgery Room set up Assistance with shower and bathroom Drain assistance (if drains present) Assistance with walking and basic range of motion to help promote blood circulation BP reading After Surgery Meal light Snacks Arnica tea Antibacterial Soap **** Deposit for Post Op Care is $150 which goes towards remanding balance ***** Payment link will be sent via text PLEASE DO NOT SEND FORM WITHOUT DEPOSIT!
Post Op Care Hourly Service Packages
🔹 6-Hour Care Package$900Includes: • Pick up from surgery center Continuous post-op assistance • Light mobility support & monitoring • 1 lymphatic/post-op massage • Meal after surgery / hydration support • Client education & positioning support• light housekeeping•faja wash (dryer must be on site)•Assist with shower post op day. (Items provided during care are intended for use only during the scheduled service hours. Clients are responsible for supplying any additional or personal items needed outside of the designated care period.)
🔹 8-Hour Care Package$1,150 Incudes:Extended hands-on post-op care2 lymphatic/post-op massagesMobility assistance & comfort monitoringMeal assistance & recovery support•light housekeeping-(Items provided during care are intended for use only during the scheduled service hours. Clients are responsible for supplying any additional or personal items needed outside of the designated care period)
🔹 10-Hour Care Package$1,400 Includes :private recovery care ( hours will be spilt)3 lymphatic/post-op massagesExtended monitoring & repositioningMeal after surgery + comfort carePost-op education & aftercare guidance•housekeeping -(Items provided during care are intended for use only during the scheduled service hours. Clients are responsible for supplying any additional or personal items needed outside of the designated care period.)
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