We are Open for You
For office use only
At Sri Sai Pure Health Spa your health and well being are of utmost importance to us.
Kindly assist us taking a moment to complete this form.
Mr/ Mrs/ Ms:
Emergency Tel no:
Do you want any medical condition that may
affect your spa treatment?
Do you have any allerglest or aggravated skin condition ?
Are you taking any medication ?
Do you have any medical history that may be relevant ?
I undertake, I have no other medical problem and take the therapy for my own pleasure.
Sri Sai Spa is not responsible for loss or injury arising out of, or in connection with the use of equipments, facilities, services or personal health.