Klinical Massage - "Healing Hands, Wherever You Are"
Mobile Massage Therapy

Client Forms

Please take the time and complete the first 4 forms BEFORE your appointment.(Additional forms may be requested)

1.) Health Information form
 

2). Health Information form - COVID-19 Addendum
 

3.) Screening Questionnaire form
 

4). Body Map for Clients
 

5).Health Status Update form
 

6). Client Feedback form
 

7). Physician's Permission form
 

8). Physician's Referral form
 

9). Billing Information form

10). Minor Consent Form