Client Forms

To allow for more time at your first visit, you can have your Client Health Form filled out ahead of time by down loading the form and filling it out.   


A prescription form is only needed if you have been in a motor vehicle accident and your doctor feels you can benefit from massage.  In this case, print off and take this form to your doctor and bring it with you to your first visit with us.  Make sure the doctor fills in a diagnosis code, otherwise insurance will not pay.


The Motor vehicle accident form is only to be filled out if your treatment sessions are to be filed with your insurance company for payment.


If you are under the age of 16, a parent will need to give authorization for treatment.  In this case, you will fill out this Minor Consent Form.

Client History Form (pdf)

Download

Consent Form to Treat A Minor (pdf)

Download

Doctor's Presciption_Form (pdf)

Download

Motor Vehicle Accident Insurance Co. Form (pdf)

Download