Free islandwide delivery for orders above $65

Massage Consultation Form




    *By furnishing the last 4-digits of your IC number, you are aware and consent for the management to retain this for use of verifying your identity




    To help us serve you better, please provide us the following information.

    1. Do you have any injuries, illness, chronic ailments or drug allergies that we should be aware of?

    2. Do you have any of the following conditions?

    3. Do you have any surgery in the past 6 months?




    4. Are you taking any medications?




    5. Do you have a pacemaker?



    6. Are you currently pregnant?




    CONSENT & AGREEMENT
    I acknowledge that above information given by me is accurate to the best of my knowledge & I have not withheld any information that may be relevant to my treatment. I will not hold ELEMENTS WELLNESS/SPA INFINITY responsible for any adverse effects resulting from the spa treatments & products used during the treatment.

    We are committed to ensuring that all information gathered will only be used for internal marketing & kept strictly private & confidential.
    ● Personal details provided will only be used solely for transactional purposes unless otherwise stated
    ● I would like to receive information on promotions, loyalty and rewards program, via the following channels:

    Please sign here:

    Hello there! Please read through these to make your shopping experience better.
    2. Purchasing Spa E-Vouchers
    • Kindly allow 3 working days for us to email you your e-vouchers (PDF format). • Please check your Spam/Junk folder in case it gets filtered there. • Only digital vouchers are available.
    3. Booking Appointments
    • Kindly contact your preferred outlet to check on availability. • Online booking is not available at this moment.
    1. Purchasing Spa Services
    • We will process your order within 3 working days. • You will receive your voucher code ('License Key') via email. Please check your Spam/Junk folder in case it gets filtered there. • You may then contact our outlets to make an appointment.
    Thank you for your cooperation.
    Out Of Stock! This product is out of stock, submit your email and we will update once it restock