Please use the form below to request and appointment. We will get back to you by email or phone as soon as possible. You are also welcome to call 850.235.1985 for an appointment request.


Cancellations must be made 24 hours prior to your appointment to avoid being charged in full. No shows will be charged the full amount of the treatment.

Your Name (required)

Your Email (required)

Would you like to join the Baliage Email Club?
 yes not at this time

Your Phone (required)

Appointment Type (required)

Desired Date (required)

Desired Time (required)

How many in your party? (required)

Additional Information - please be as specific as you can

Prove Humanity