Forms

Please print, fill out and bring THIS FORM with you to your first appointment.

Health Information Form For Massage

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

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