Request On-Site Treatment | Chelsea Vaccaro Therapeutic Massage

On-Site Treatment Request

Please fill out the form below to request a home visit. I will review your request and contact you to finalize the appointment and discuss variable travel costs.

First Name

Last Name

Email Address

Phone Number

Home Visit Address (New Paltz & Surrounding Areas)

Number of Clients (max of 5)

Requested Availability (Select up to 3 options)

Date Option 1

Time Option 1

Date Option 2 (Optional)

Time Option 2

Date Option 3 (Optional)

Time Option 3

Additional Details or Special Requests

Preferred Contact Method

Text Call Email