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Client Intake Forms

Downloads

Please arrive 10-15 minutes prior to your first appointment or bring a completed copy of these pages with you.  


Massage intake forms and yoga intake forms must be updated when heath records or medications change or once per year.  Each visit we will take a moment to review and update your forms, as needed.  This is an important part of providing safe, quality care.  Your honesty on these forms is essential to ensure contraindications  do not put you at risk.  These files are stored following HIPAA regulations.

Massage General-Liability-Release-Form (pdf)

Download

Massage-Guidelines (pdf)

Download

Yoga Waiver of Liability (pdf)

Download

Reiki Release & Intake (pdf)

Download

Massage Intake Health History (pdf)

Download

Special Population/Treatment Downloads

These forms are specific to special populations (pregnancy and cancer patients) or pertain to specialized treatments (hot stone & cupping) that have additional contraindications or risks.   Please note that minors must be accompanied by a parent or legal guardian.  Please arrive 10-15 minutes prior to your first appointment or bring a completed copy of these pages with you.  


Intake forms must be updated when heath records or medications change or once per year.  Each visit we will take a moment to review and update your forms, as needed.  This is an important part of providing safe, quality care.  Your honesty on these forms is essential to ensure contraindications  do not put you at risk.  These files are stored following HIPAA regulations.

Prenatal-Massage-Consent-and-Release-Form (pdf)

Download

Cancer-Massage-Consent-and-Release-Form (pdf)

Download

Hot-Stone-Massage-Consent-and-Release-Form (pdf)

Download

Massage Cupping-Consent-and-Release-Form (pdf)

Download

Minor-Consent-Form (pdf)

Download

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