We want to get to know you a little better!

As a new member, we ask that you fill out the below intake form to tell us your wellness goals and any conditions you have that may restrict your treatment. All information is kept confidential.


 

PERSONAL INFORMATION


MASSAGE EXPERIENCE


CURRENT HEALTH


HEALTH HISTORY(Check all that apply)


MEMBER AGREEMENT AND HEALTH RELEASE FORM

MEMBER AGREEMENT

RELEASE OF MEDICAL RECORDS

CONTRACT FOR CARE