Forms

If you will be coming in for an appointment, please print the following forms:

Intake & Consent Forms for Massage Clients:

Health Information Form For Massage
Consent Form For Massage

Intake & Consent Forms for EFT Clients:

Health Information Form for EFT
EFT Consent Form

Consent to Communicate with Primary Care Physician

If you would like to give us consent to communicate with your Primary Care Physician:

Consent For Disclosure of Health Information

If you would like to revoke consent to communicate with your Primary Care Physician:

Revocation of Consent for Disclosure

Breast Massage Consent Form

Consent is needed if you wish to receive the benefits of a breast massage.  Please print out the following form:

Breast Massage Consent Form