AWARENESS Massage and Wellness Center, LLC
Breathe Easy! Move Freely! Live Healthy!

CLIENT FORMS

New clients!  In an effort to save you time, please print out and complete this 3 page form which includes a Health History Form, a Consent Form, and a Guidelines Agreement.  This must be completed prior to your scheduled appointment time.  If you are unable to complete this ahead of time, plan on arriving 5-10 minutes early.  New client forms for Fascial Stretch Technique will be given upon arrival.

1.  First-time Client HEALTH/HISTORY FORM

 
If you are currently under the care of a medical professional for a specific medical conditon, you may require permission or an actual referral from your primary care practitioner prior to receiving a massage therapy treatment.  For your convienience please print out these forms and bring it to your Doctor for review and completion as needed.
* If you bring in a prescription for Massage Therapy from your physician or other medical professional, you will receive your treatment tax free.

2.  Physician's REFERRAL FORM
3.  Physician's PERMISSION FORM

 
Interested in leaving feedback?  Please print out and complete this form.  You can either mail it in to the center or bring it in any time!  Feel free to send an email through the CONTACT PAGE with feedback or questions!

4.  Client FEEDBACK FORM


  

BREATHE EASY!...MOVE FREELY!...LIVE HEALTHY!

Associated Bodywork & Massage Professionals
© Copyright 2017  AWARENESS Massage and Wellness Center, LLC.  All rights reserved.