WELCOME! I would like to make your appointment as pleasant and comfortable as possible. If you have any questions, please let me know. Name_____ Date_____
To ensure the safety of your animal, a Client Intake Form must be filled out prior to booking an appointment. 2. What to expect. … If massage therapy is in your home, please ensure that your pets favourite bedding and towels are available.
Because massage therapy should not be performed under certain medical conditions, I have informed the therapist of all my physical and medical conditions and hold no liability against the therapist due to given or withheld information. … Client intake form Author:
Sohnen-Moe Associates, Inc (SMA) … Most people form an opinion of you and your massage therapy practice within seconds of interacting with you. Help set the tone with a professionally designed intake form for your clients.
Inner Peace Wellness provides Restorative Massage and Reiki Therapy with a holistic approach. Specializing in Swedish, Deep Tissue, Aromatherapy, RainDrop, Hot Stone, Neuromuscular/Trigger Point and Reiki (energy work) techniques. Reach for Wellness!
Because massage/ bodywork should not be performed under certain medical conditions, … I hereby authorize _____ to administer massage, bodywork, or somatic therapy techniques to my child or dependent as they deem necessary. Signature of … Client Intake Form. Title: OnlineBackOfBook_06
This form is for first time clients to complete prior to their first appointment.
MASSAGE INTAKE FORM – CONFIDENTIAL INFORMATION WELCOME! I would like to make your appointment as pleasant and comfortable as possible. If at any time you
Massage Therapy Client Intake Form . ETMC Olympic Center Massage Therapy . 700 Olympic Plaza Tower . Tyler, TX 75701 . www.etmc.org/massage . Name: _____ Date _____
Intake form edition: texas • revision: 1.22.13 about you name email address city state zip your occupation date of birth how did you hear about us?
Reboot Massage Therapy specializing in pain management massage. Located in Angola, Indiana.
Cake Intake Enterprise … health intake form HIPAA hipaa form HIPAA release form Holistic Health homeopathic intake form intake form template massage therapy intake form massage therapy intake forms medical intake form medical intake forms new patient intake form new patient intake forms …
Massage Client Intake and Consent Form . Name … It has been made very clear to me that this massage therapy is not a substitute for medical examinations and/or diagnosis and I understand that it is my responsibility to consult a physician for any ailments I
Member, Associated Bodywork & Massage Professionals 931-252-8145 740 South Willow Avenue #7, Cookeville, TN 38501
Intake Forms; Essential Oil Therapy; … Intake Forms . Download Colon Hydrotherapy Client Intake Form “The doctor of the future will give no medication, but will interest his patients in the care of the human frame, diet and in …
Massage Therapy Intake Form Last name _____ First name _____ M.I. _____ Date _____ Street _____ City _____ State ____ Zip _____
A client form or a massage intake form is basically used to know your background with regards to therapeutic massage. … If you are pregnant, a mom of a kid who is to undergo massage therapy, or if you have aching body parts, …
Massage Therapy Client Intake Please mark the areas to identify your symptoms today. Circle the area in roughly the size and shape of your pain/tenderness, numbness/tingling, or joint/muscle stiffness. … Microsoft Word – Massage Intake Form
Powell Wellness Center Massage Therapy Client Intake Form … A massage therapy appointment is provided for the basic purposes of relaxation and reduction of muscular tension. I understand that massage therapists are not qualified to perform spinal adjustments, …
Massage Therapy Intake Form At any time, you may stop … that my failure to do so may post a threat to my health and/physical well being and I hold harmless Pure Touch Therapy and my therapeutic massage therapist from any liability whatsoever arising from failure on my part.