Intake Forms

(For Pregnancy Massage, Minor Massage and Cupping Massage therapy please scroll down and print additional forms to fill out)

General Intake form:

Please print and fill out this simple 1 page Intake form below to help me tailor your therapeutic session and bring to your appointment for a speedy check in!

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Only fill this Intake form below for your minor patient when bringing your child to the appointment:

Minor Consent

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Please print and fill out this additional form below if you are pregnant:

pregnancy release