Client Forms
Please fill out the required forms and return them to me using one of the following methods:
- Fill it out on your computer and email it to MendYourBodyMassage@gmail.com
- Print it, fill it out, then scan it in for email or fax it to 609-371-2503.
- Print it, fill it out, take a picture using the app TurboScan (free) and email it to MendYourBodyMassage@gmail.com
To fill out the form on your computer:
MAC: Click Tools, Annotate, Text. Then click where you want to add text.
You can also add a circle to mark the body diagram by clicking Oval instead of Text.
PC: Open in Adobe Reader. Click View, Comment, Annotations, Add Text. Use Drawing Markups for the body diagram.
- Fill it out on your computer and email it to MendYourBodyMassage@gmail.com
- Print it, fill it out, then scan it in for email or fax it to 609-371-2503.
- Print it, fill it out, take a picture using the app TurboScan (free) and email it to MendYourBodyMassage@gmail.com
To fill out the form on your computer:
MAC: Click Tools, Annotate, Text. Then click where you want to add text.
You can also add a circle to mark the body diagram by clicking Oval instead of Text.
PC: Open in Adobe Reader. Click View, Comment, Annotations, Add Text. Use Drawing Markups for the body diagram.
New Client Massage Health Form
All clients must download and fill out the following intake form which covers your basic medical information. Please return it at least 24 hours prior to your first appointment.
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New Client Manual Lymphatic Drainage Form
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All MLD clients must download and fill out the following intake form which covers your medical history and session intention. Also fill out the Photo Release Form to include in your file.
Please bring it to your session/consultation or email it back at least 24 hours prior to your first appointment. |
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Prenatal Form
All clients who are pregnant must download and fill out the following form along with the New Client Health Form. This covers your pregnancy related medical information.
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Oncology History Form
If you have any history with cancer or currently have cancer, please download and fill out this form along with the New Client Health Form. Please return it least 12 hours prior to your first appointment.
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Physician Approval Form
If you are currently in treatment, between treatments, or if your last treatment for cancer was within one year of the date of the massage session, please download this form, have your physician fill it out, and return it at least 12 hours prior to your appointment.
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Minor Consent Form
If the client receiving the massage is under the age of 18, this consent form must be downloaded, filled out from a parent/legal guardian, and returned before the appointment begins.
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Guidelines
Information and Contact Information for you to keep and refer to.
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