Center for Life Design • 1107 Hazeltine Blvd. Ste. 410 • Chaska, MN 55318 • Tel: 612-270-6323

Schedule an Appointment

After you schedule an appointment, please review and complete the following forms:

It is construction season!!

Here are some construction updates for you to be aware of and plan for as they may impact your access to the office.

Hwy 41, north of my office will be closed for 3 months starting at the end of May. They are putting in a round about at Peavy Rd for Costco. For more info go to peaveyroundabout.com

Hwy 41 south, from Hwy 61 to the River Bridge is closed currently and will be all summer. They are putting in a tunnel under Hwy41 to connect the trail system and also removing the cement median down the center of Hwy 41 and putting in turn lanes. For more info go to clients.bolton-menk.com/DowntownHwy41Project/

All Chaska information can be gotten at www.chaskamn.gov

Our sessions bring peace, joy, and happiness to my life every single time! Thank you, Roxann!
Angela W.

Call us today at: 612-270-6323

HOURS:

Tuesday-Saturday by Appointment Only

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COVID-19 Pre-Screening

By attending my appointment…
I agree that I am not currently experiencing any of these symptoms:

  • Cough
  • Shortness of breath or difficulty breathing
  • Fever
  • Chills
  • Sore Throat
  • New loss of taste or smell

Please note: Other less common symptoms have been reported, including gastrointestinal symptoms like nausea, vomiting, or diarrhea. 

I agree that I have not:

  • Tested positive for COVID-19
  • Knowingly been exposed to someone with COVID-19
  • Recently Traveled to an area with a high infection rate
  • Been in an area where social distancing was not properly observed

If you have experienced any of the above, please reschedule your appointment at least 14 days from now.

If I have tested positive for Covid-19, have quarantined and recovered, I will have taken a Covid-19 test and have a negative result before going to the appointment.

If I have received vaccinations, I will provide vaccination dates to my practitioner at the time of appointment to be entered into my Health Chart.

COVID-19 Information & Liability Waiver

COVID-19 Information

Consent for Treatment

I understand that, because massage therapy work involves maintained touch and close physical proximity over an extended period of time, there may be an elevated risk of disease transmission, including COVID-19. By signing this form, I acknowledge that I am aware of the risks involved from receiving treatment at this time, I voluntarily agree to assume those risks, and I release and hold harmless the practitioner/business from any claims related thereto. I give my consent to receive treatment from this practitioner.

Typing your name in the box below represents your digital signature on this form.

Contact Us

Center for Life Design
1107 Hazeltine Blvd. Ste. 410
Chaska, MN 55318