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 fax it to my office at 609-371-2503.
To complete the form on your computer, you MUST DOWNLOAD the form (not just view it) onto your computer. The form has automatic fill boxes on each line, so just click on each line to complete the question. If you wish to draw on the body on p3 of the New Client Form, you will have to use the Annotate tool.
- Fill it out on your computer and email it to MendYourBodyMassage@gmail.com
- Print it, fill it out, then fax it to my office at 609-371-2503.
To complete the form on your computer, you MUST DOWNLOAD the form (not just view it) onto your computer. The form has automatic fill boxes on each line, so just click on each line to complete the question. If you wish to draw on the body on p3 of the New Client Form, you will have to use the Annotate tool.
New Client Form
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All NEW 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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Prenatal Form
All clients who are pregnant must download and fill out the following form ALONG WITH the New Client 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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